PMID- 27747024 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 2072-1439 (Print) IS - 2077-6624 (Electronic) IS - 2072-1439 (Linking) VI - 8 IP - 9 DP - 2016 Sep TI - Veno-arterial extracorporeal membrane oxygenation: an overview of different cannulation techniques. PG - E875-E885 AB - Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has known a widespread application over the last decade and is now an effective and valuable therapeutic option in refractory cardiogenic shock of various etiologies. In this subgroup of critically ill and unstable patients in cardiogenic shock, VA-ECMO allows, on the one hand, temporary hemodynamic stabilization with improvement of end-organ function and, on the other hand, gives the time to perform complementary diagnostic exams and to decide the therapeutic strategy in these high-risk candidates for immediate long-term mechanical circulatory support (MCS) implantation. VA-ECMO could also be suggested as a rescue therapeutic option for refractory cardiac arrest. It showed promising results in the specific setting of in-hospital cardiac arrest and survival rates with good neurological outcome are reported between 20% and 40%. Conversely, there are contrasting data in the literature about survival after VA-ECMO for out-of-hospital cardiac arrest, as results are highly dependent on low-flow time. The aim of the present report is to offer an overview of different cannulation techniques of VA-ECMO. FAU - Banfi, Carlo AU - Banfi C AD - Division of Cardiovascular Surgery, Geneva University Hospitals, Geneva, Switzerland;; Faculty of Medicine, University of Geneva, Geneva, Switzerland;; Geneva Hemodynamic Research Group, Faculty of Medicine, University of Geneva, Geneva, Switzerland. FAU - Pozzi, Matteo AU - Pozzi M AD - Department of Cardiac Surgery, "Louis Pradel" Cardiologic Hospital, "Claude Bernard" University, Lyon, France. FAU - Brunner, Marie-Eve AU - Brunner ME AD - Intensive Care Service, Department of Anesthesiology, Intensive Care and Pharmacology. FAU - Rigamonti, Fabio AU - Rigamonti F AD - Division of Cardiology, Department of Medical Specialties, Geneva University Hospitals, Geneva, Switzerland. FAU - Murith, Nicolas AU - Murith N AD - Division of Cardiovascular Surgery, Geneva University Hospitals, Geneva, Switzerland;; Faculty of Medicine, University of Geneva, Geneva, Switzerland. FAU - Mugnai, Damiano AU - Mugnai D AD - Division of Cardiovascular Surgery, Geneva University Hospitals, Geneva, Switzerland;; Faculty of Medicine, University of Geneva, Geneva, Switzerland. FAU - Obadia, Jean-Francois AU - Obadia JF AD - Department of Cardiac Surgery, "Louis Pradel" Cardiologic Hospital, "Claude Bernard" University, Lyon, France. FAU - Bendjelid, Karim AU - Bendjelid K AD - Faculty of Medicine, University of Geneva, Geneva, Switzerland;; Geneva Hemodynamic Research Group, Faculty of Medicine, University of Geneva, Geneva, Switzerland ;; Intensive Care Service, Department of Anesthesiology, Intensive Care and Pharmacology. FAU - Giraud, Raphael AU - Giraud R AD - Faculty of Medicine, University of Geneva, Geneva, Switzerland;; Geneva Hemodynamic Research Group, Faculty of Medicine, University of Geneva, Geneva, Switzerland ;; Intensive Care Service, Department of Anesthesiology, Intensive Care and Pharmacology. LA - eng PT - Journal Article PT - Review PL - China TA - J Thorac Dis JT - Journal of thoracic disease JID - 101533916 PMC - PMC5059274 OTO - NOTNLM OT - Cardiogenic shock OT - cardiac arrest OT - extracorporeal membrane oxygenation (ECMO) COIS- The authors have no conflicts of interest to declare. EDAT- 2016/10/18 06:00 MHDA- 2016/10/18 06:01 PMCR- 2016/09/01 CRDT- 2016/10/18 06:00 PHST- 2016/10/18 06:00 [entrez] PHST- 2016/10/18 06:00 [pubmed] PHST- 2016/10/18 06:01 [medline] PHST- 2016/09/01 00:00 [pmc-release] AID - jtd-08-09-E875 [pii] AID - 10.21037/jtd.2016.09.25 [doi] PST - ppublish SO - J Thorac Dis. 2016 Sep;8(9):E875-E885. doi: 10.21037/jtd.2016.09.25.