PMID- 25529821 OWN - NLM STAT- MEDLINE DCOM- 20160115 LR - 20220410 IS - 1522-726X (Electronic) IS - 1522-1946 (Linking) VI - 85 IP - 6 DP - 2015 May TI - Percutaneous bi-atrial extracorporeal membrane oxygenation for acute circulatory support in advanced heart failure. PG - 1097-9 LID - 10.1002/ccd.25791 [doi] AB - Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) may improve survival after cardiac arrest by providing cardiopulmonary support. However, VA-ECMO increases left ventricular (LV) afterload, which can promote progressive LV distension and often requires a secondary approach to reduce LV pressure and volume in patients with left heart failure. We report a case of biventricular unloading via biatrial cannulation in the presence of LV thrombus using a TandemHeart percutaneous trans-septal cannula for VA-ECMO in an adult patient with refractory ventricular fibrillation. CI - (c) 2014 Wiley Periodicals, Inc. FAU - Jumean, Marwan AU - Jumean M AD - The Cardiovascular Center, Tufts Medical Center, Boston, Massachusetts. FAU - Pham, Duc Thinh AU - Pham DT FAU - Kapur, Navin K AU - Kapur NK LA - eng PT - Case Reports PT - Journal Article DEP - 20150113 PL - United States TA - Catheter Cardiovasc Interv JT - Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions JID - 100884139 SB - IM MH - Adult MH - Disease Progression MH - Echocardiography, Transesophageal/methods MH - Extracorporeal Membrane Oxygenation/*methods MH - Fatal Outcome MH - Heart Failure/*diagnostic imaging/physiopathology/*therapy MH - *Heart-Assist Devices MH - Humans MH - Male MH - Severity of Illness Index MH - Ventricular Fibrillation/diagnosis/*therapy OTO - NOTNLM OT - ECMO/IABP/Tandem/Impella OT - cardiogenic OT - heart failure OT - mechanical circulatory support OT - shock OT - ventricular assist device EDAT- 2014/12/23 06:00 MHDA- 2016/01/16 06:00 CRDT- 2014/12/23 06:00 PHST- 2014/08/25 00:00 [received] PHST- 2014/12/14 00:00 [accepted] PHST- 2014/12/23 06:00 [entrez] PHST- 2014/12/23 06:00 [pubmed] PHST- 2016/01/16 06:00 [medline] AID - 10.1002/ccd.25791 [doi] PST - ppublish SO - Catheter Cardiovasc Interv. 2015 May;85(6):1097-9. doi: 10.1002/ccd.25791. Epub 2015 Jan 13.