Cardiac Decompression on Extracorporeal Life Support: A Review and Discussion of the Literature

Rupprecht, Leopold and Floerchinger, Bernhard and Schopka, Simon and Schmid, Christof and Philipp, Alois and Lunz, Dirk and Mueller, Thomas and Camboni, Daniele (2013) Cardiac Decompression on Extracorporeal Life Support: A Review and Discussion of the Literature. ASAIO JOURNAL, 59 (6). pp. 547-553. ISSN 1058-2916, 1538-943X

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Abstract

Extracorporeal life support is a worldwide expanding technology for patients in critical cardiogenic shock. The device is usually attached to the femoral vessels using percutaneous techniques. Despite sufficient extracorporeal circulatory support, an unclear number of patients develop high end-diastolic pressures leading to left ventricular distension and pulmonary edema, and ventricular thrombus formation may evolve. This article discusses the strategies to prevent ventricular distension by conservative, interventional, and surgical means, also illustrated by case presentations.

Item Type: Article
Uncontrolled Keywords: VENTRICULAR ASSIST DEVICE; LEFT-HEART DECOMPRESSION; MEMBRANE-OXYGENATION; CARDIOGENIC-SHOCK; PULMONARY-ARTERY; FAILURE; EXPERIENCE; OUTCOMES; IMPELLA; MYOCARDITIS; ECMO; ventricular distension; left heart decompression
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Medicine > Lehrstuhl für Innere Medizin II
Depositing User: Dr. Gernot Deinzer
Date Deposited: 25 Mar 2020 09:35
Last Modified: 25 Mar 2020 09:53
URI: https://pred.uni-regensburg.de/id/eprint/15745

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