Left Ventricle Unloading Through Pulmonary Artery in Patients With Venoarterial Extracorporeal Membrane Oxygenation - Université Paris-Est-Créteil-Val-de-Marne Access content directly
Journal Articles ASAIO Journal Year : 2020

Left Ventricle Unloading Through Pulmonary Artery in Patients With Venoarterial Extracorporeal Membrane Oxygenation

Aurélien de Pommereau
Madjid Boukantar
  • Function : Author
François Bagate
  • Function : Author
Gauthier Mouillet
  • Function : Author
Thierry Folliguet
Armand Mekontso Dessap
Emmanuel Teiger
  • Function : Author
Romain Gallet
  • Function : Author

Abstract

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) initiation for patients with cardiogenic shock or cardiac arrest is an attractive strategy since it provides a quick restoration of organ perfusion. One major limitation of VA-ECMO is left ventricle (LV) distension which is associated with poor prognosis. To prevent or treat LV distension, LV decompression may be required. Current strategies for LV decompression have some contraindications, carry a high risk of complications and, for some of them concerns remain regarding their effectiveness. We here describe our experience in two adult patients treated with VA-ECMO in whom indirect LV unloading using pulmonary artery venting was performed for the prevention and the treatment of LV distension, respectively. The placement of the venting cannula in the pulmonary trunk was quick, easy and safe and was associated with the resolution of LV distension. These results suggest that pulmonary artery venting may be an attractive strategy for indirect LV decompression during VA-ECMO.
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Dates and versions

hal-04391538 , version 1 (12-01-2024)

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Aurélien de Pommereau, Costin Radu, Madjid Boukantar, François Bagate, Gauthier Mouillet, et al.. Left Ventricle Unloading Through Pulmonary Artery in Patients With Venoarterial Extracorporeal Membrane Oxygenation. ASAIO Journal, 2020, 67 (1), pp.e49-e51. ⟨10.1097/MAT.0000000000001179⟩. ⟨hal-04391538⟩

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