PMID- 23903282
OWN - NLM
STAT- MEDLINE
DCOM- 20140123
LR  - 20130801
IS  - 1827-6806 (Print)
IS  - 1827-6806 (Linking)
VI  - 14
IP  - 9
DP  - 2013 Sep
TI  - [Case report of a patient on extracorporeal memebrane oyxgenation for cardiogenic 
      shock not suitable for weaning in a peripheral center. Just a "problem" or is it 
      feasible a treatment before patient transfer to a Hub center?].
PG  - 626-9
LID - 10.1714/1311.14488 [doi]
AB  - Veno-arterial extracorporeal membrane oxygenation (VA ECMO) is the treatment of 
      choice for cardiogenic shock unresponsive to inotropes or intra-aortic balloon 
      pumping. It provides a temporary mechanical circulatory support and blood 
      oxygenation allowing time for cardiac recovery. If this is not the case, the 
      patient may become suitable for heart transplantation or left ventricular assist 
      device (LVAD) implantation and must be transferred to a referral center. In this 
      setting, patient transport is asscociated with high risk and it is also difficult 
      from a logistic point of view. We describe a relatively simple method to switch 
      the assistance from VA ECMO to LVAD. Through a left minithoracotomy an apical 
      cannula is inserted into the left ventricle and then connected to the venous 
      return of ECMO. The progressive clamping of ECMO venous cannula transforms the 
      circuit from VA ECMO to a LVAD. In fact, if the switching procedure is 
      succesfully accomplished, the left ventricle is drained, and thus unloaded, 
      through the apical cannula while the blood to systemic circulation is provided 
      from the femoral artery cannula. In this final setting, the oxygenator can be 
      removed and the patient extubated, allowing an easier and less hazardous transfer 
      to a heart transplantation center.
FAU - Di Bella, Isidoro
AU  - Di Bella I
FAU - Affronti, Alessandro
AU  - Affronti A
FAU - Da Col, Uberto
AU  - Da Col U
FAU - Perticoni, Simone
AU  - Perticoni S
FAU - Procenesi, Paolo
AU  - Procenesi P
FAU - Ragni, Temistocle
AU  - Ragni T
LA  - ita
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
TT  - Paziente in ossigenazione extracorporea a membrana per shock cardiogeno non 
      svezzabile in un centro periferico. Solo un "problema" o e possibile un 
      trattamento prima del trasferimento ad un centro Hub?
PL  - Italy
TA  - G Ital Cardiol (Rome)
JT  - Giornale italiano di cardiologia (2006)
JID - 101263411
SB  - IM
MH  - *Extracorporeal Membrane Oxygenation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Transfer
MH  - Shock, Cardiogenic/*therapy
EDAT- 2013/08/02 06:00
MHDA- 2014/01/24 06:00
CRDT- 2013/08/02 06:00
PHST- 2013/08/02 06:00 [entrez]
PHST- 2013/08/02 06:00 [pubmed]
PHST- 2014/01/24 06:00 [medline]
AID - 10.1714/1311.14488 [doi]
PST - ppublish
SO  - G Ital Cardiol (Rome). 2013 Sep;14(9):626-9. doi: 10.1714/1311.14488.