PMID- 28496031
OWN - NLM
STAT- MEDLINE
DCOM- 20180613
LR  - 20220409
IS  - 1347-4820 (Electronic)
IS  - 1346-9843 (Linking)
VI  - 81
IP  - 10
DP  - 2017 Sep 25
TI  - Atrial Septostomy for Left Atrial Decompression During Extracorporeal Membrane 
      Oxygenation by Inoue Balloon Catheter.
PG  - 1419-1423
LID - 10.1253/circj.CJ-16-1308 [doi]
AB  - BACKGROUND: Refractory pulmonary edema is an infrequent but serious complication 
      in patients receiving venoarterial extracorporeal membrane oxygenation (VA-ECMO) 
      for myocardial failure. Left atrial (LA) decompression in this setting is 
      important. Although a few methods have been reported, the experience is mostly 
      limited to children. We aimed to evaluate the feasibility of Inoue balloon 
      catheter in percutaneous trans-septal LA decompression in adult cardiogenic 
      patients.Methods and Results:We retrospectively analyzed 16 procedures of 
      trans-septal LA decompression by Inoue balloon catheter in 15 VA-ECMO patients 
      (aged 22-65 years, 6 men) with refractory pulmonary edema from May 2012 to 
      December 2014. Mean left ventricular ejection fraction was 15%. The cause of 
      cardiogenic shock included 7 cases of ischemic heart disease, 1 of dilated 
      cardiomyopathy, 5 of myocarditis, and 2 of fatal ventricular arrhythmia.The 
      procedures were performed 4.3 days after ECMO. Inoue balloon size was 24-27 mm. 
      LA septostomy were successfully created in 14 patients. Procedure time on average 
      was 36.8 min (range, 15-85 min). There were no procedure-related 
      complications.Radiography on the next day showed rapid resolution of pulmonary 
      edema. CONCLUSIONS: Trans-septal LA decompression by Inoue balloon catheter is a 
      feasible alternative method for adult patients with refractory pulmonary edema 
      under ECMO.
FAU - Lin, Yen-Nien
AU  - Lin YN
AD  - Division of Cardiovascular Medicine, Department of Medicine, China Medical 
      University Hospital.
AD  - Cardiovascular Research Laboratory, China Medical University Hospital.
AD  - Graduate Institute of Clinical Medical Science, China Medical University.
FAU - Chen, Yin-Huei
AU  - Chen YH
AD  - Division of Endocrinology and Metabolism, Department of Internal Medicine, China 
      Medical University Hospital.
FAU - Wang, Huang-Joe
AU  - Wang HJ
AD  - Division of Cardiovascular Medicine, Department of Medicine, China Medical 
      University Hospital.
AD  - Cardiovascular Research Laboratory, China Medical University Hospital.
FAU - Hung, Jui-Sung
AU  - Hung JS
AD  - Division of Cardiovascular Medicine, Department of Medicine, China Medical 
      University Hospital.
FAU - Chang, Kuan-Cheng
AU  - Chang KC
AD  - Division of Cardiovascular Medicine, Department of Medicine, China Medical 
      University Hospital.
AD  - Cardiovascular Research Laboratory, China Medical University Hospital.
AD  - Graduate Institute of Clinical Medical Science, China Medical University.
FAU - Lo, Ping-Han
AU  - Lo PH
AD  - Division of Cardiovascular Medicine, Department of Medicine, China Medical 
      University Hospital.
LA  - eng
PT  - Journal Article
DEP - 20170511
PL  - Japan
TA  - Circ J
JT  - Circulation journal : official journal of the Japanese Circulation Society
JID - 101137683
SB  - IM
MH  - Adult
MH  - Aged
MH  - Catheters
MH  - Decompression, Surgical/*methods
MH  - *Extracorporeal Membrane Oxygenation
MH  - Feasibility Studies
MH  - Female
MH  - Heart Atria/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pulmonary Edema/*therapy
MH  - Retrospective Studies
MH  - Shock, Cardiogenic
MH  - Young Adult
OTO - NOTNLM
OT  - Atrial septostomy
OT  - Extracorporeal membrane oxygenation
OT  - Left atrial decompression
OT  - Pulmonary edema
OT  - Trans-septal catheterization
EDAT- 2017/05/13 06:00
MHDA- 2018/06/14 06:00
CRDT- 2017/05/13 06:00
PHST- 2017/05/13 06:00 [pubmed]
PHST- 2018/06/14 06:00 [medline]
PHST- 2017/05/13 06:00 [entrez]
AID - 10.1253/circj.CJ-16-1308 [doi]
PST - ppublish
SO  - Circ J. 2017 Sep 25;81(10):1419-1423. doi: 10.1253/circj.CJ-16-1308. Epub 2017 
      May 11.