PMID- 26735555
OWN - NLM
STAT- MEDLINE
DCOM- 20171116
LR  - 20220408
IS  - 1538-943X (Electronic)
IS  - 1058-2916 (Linking)
VI  - 62
IP  - 3
DP  - 2016 May-Jun
TI  - Early Experience with a Novel Cannulation Strategy for Left Ventricular 
      Decompression during Nonpostcardiotomy Venoarterial ECMO.
PG  - e30-4
LID - 10.1097/MAT.0000000000000333 [doi]
AB  - Advances in technology for the delivery of venoarterial extracorporeal membrane 
      oxygenation (VA-ECMO) have allowed for its expanded utilization in the treatment 
      of patients with advanced cardiogenic shock, particularly through the use of 
      peripheral cannulation strategies. However, peripheral VA-ECMO continues to be 
      hampered by several major limitations including inadequate decompression of the 
      left ventricle, lower limb ischemia, and the inability to mobilize patients. 
      Here, we present a case series of three patients who were treated with a hybrid 
      peripheral-central cannulation strategy accompanied by direct decompression of 
      the left ventricle through a right anterior mini-thoracotomy. This novel approach 
      ameliorates several of the current limitations to peripheral VA-ECMO therapy and 
      thereby holds potential for improving outcomes in VA-ECMO patients.
FAU - Keenan, Jeffrey E
AU  - Keenan JE
AD  - From the *Department of Surgery, Division of Cardiothoracic Surgery, daggerDivision of 
      Perfusion Services, and double daggerDepartment of Anesthesiology, Duke University Medical 
      Center, Durham, North Carolina.
FAU - Schechter, Matthew A
AU  - Schechter MA
FAU - Bonadonna, Desiree K
AU  - Bonadonna DK
FAU - Bartz, Raquel R
AU  - Bartz RR
FAU - Milano, Carmelo A
AU  - Milano CA
FAU - Schroder, Jacob N
AU  - Schroder JN
FAU - Daneshmand, Mani A
AU  - Daneshmand MA
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - ASAIO J
JT  - ASAIO journal (American Society for Artificial Internal Organs : 1992)
JID - 9204109
SB  - IM
MH  - Catheterization
MH  - Extracorporeal Membrane Oxygenation/adverse effects/*methods
MH  - Heart Ventricles/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Shock, Cardiogenic/*surgery
MH  - Thoracotomy/*methods
EDAT- 2016/01/07 06:00
MHDA- 2017/11/29 06:00
CRDT- 2016/01/07 06:00
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
AID - 10.1097/MAT.0000000000000333 [doi]
PST - ppublish
SO  - ASAIO J. 2016 May-Jun;62(3):e30-4. doi: 10.1097/MAT.0000000000000333.