PMID- 29466925 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20220409 IS - 1477-111X (Electronic) IS - 0267-6591 (Linking) VI - 33 IP - 6 DP - 2018 Sep TI - Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock. PG - 493-495 LID - 10.1177/0267659118761558 [doi] AB - Cardiogenic shock and cardiac arrest are life-threatening emergencies that result in high mortality rates. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) via peripheral cannulation is an option for patients who do not respond to conventional therapies. Left ventricular (LV) distention is a major limitation with peripheral VA-ECMO and is thought to contribute to poor recovery and the inability to wean off VA-ECMO. We report on a novel technique that combines peripheral VA-ECMO with off-pump insertion of a trans-apical LV venting cannula and a right ventricular decompression cannula. FAU - Rao, Prashant AU - Rao P AUID- ORCID: 0000-0002-5396-4677 AD - 1 Department of Internal Medicine, University of Arizona, Tucson, Arizona. FAU - Mosier, Jarrod AU - Mosier J AD - 2 Department of Pulmonology and Critical Care, University of Arizona, Tucson, Arizona. FAU - Malo, Joshua AU - Malo J AD - 2 Department of Pulmonology and Critical Care, University of Arizona, Tucson, Arizona. FAU - Dotson, Vicky AU - Dotson V AD - 3 Department of Perfusion and Artificial Heart Programs, Banner University Medical Center, Tucson, Arizona. FAU - Mogan, Christopher AU - Mogan C AD - 3 Department of Perfusion and Artificial Heart Programs, Banner University Medical Center, Tucson, Arizona. FAU - Smith, Richard AU - Smith R AD - 3 Department of Perfusion and Artificial Heart Programs, Banner University Medical Center, Tucson, Arizona. FAU - Keller, Roy AU - Keller R AD - 4 Department of Cardiothoracic Surgery, University of Arizona, Tucson, Arizona. FAU - Slepian, Marvin AU - Slepian M AD - 3 Department of Perfusion and Artificial Heart Programs, Banner University Medical Center, Tucson, Arizona. AD - 5 Department of Cardiology, University of Arizona, Tucson, Arizona. FAU - Khalpey, Zain AU - Khalpey Z AD - 3 Department of Perfusion and Artificial Heart Programs, Banner University Medical Center, Tucson, Arizona. AD - 4 Department of Cardiothoracic Surgery, University of Arizona, Tucson, Arizona. LA - eng SI - ClinicalTrials.gov/NCT02326402 PT - Case Reports PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180221 PL - England TA - Perfusion JT - Perfusion JID - 8700166 SB - IM MH - Catheterization/instrumentation/methods MH - Decompression, Surgical/instrumentation/*methods MH - Extracorporeal Membrane Oxygenation/instrumentation/*methods MH - Female MH - Heart Ventricles/physiopathology/*surgery MH - Hemodynamics MH - Humans MH - Shock, Cardiogenic/physiopathology/*surgery MH - Young Adult OTO - NOTNLM OT - VA-ECMO OT - cardiac arrest OT - cardiogenic shock OT - mechanical circulatory support OT - ventricular assist device EDAT- 2018/02/23 06:00 MHDA- 2018/11/27 06:00 CRDT- 2018/02/23 06:00 PHST- 2018/02/23 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] PHST- 2018/02/23 06:00 [entrez] AID - 10.1177/0267659118761558 [doi] PST - ppublish SO - Perfusion. 2018 Sep;33(6):493-495. doi: 10.1177/0267659118761558. Epub 2018 Feb 21.