PMID- 32424689
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201030
IS  - 2193-8261 (Print)
IS  - 2193-6544 (Electronic)
IS  - 2193-6544 (Linking)
VI  - 9
IP  - 2
DP  - 2020 Dec
TI  - The Physiologic Basis and Clinical Outcomes of Combined Impella and Veno-Arterial 
      Extracorporeal Membrane Oxygenation Support in Cardiogenic Shock.
PG  - 245-255
LID - 10.1007/s40119-020-00175-6 [doi]
AB  - Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) provides effective 
      hemodynamic support in cardiogenic shock, but in some cases may be complicated by 
      left ventricular (LV) distension and pulmonary edema. The Impella, a 
      catheter-mounted microaxial pump has been used to unload the LV. Recent studies 
      have compared the clinical outcomes of VA-ECMO to the combination of Impella and 
      VA-ECMO. The purpose of this review is threefold: firstly, to discuss the 
      physiological effects of Impella support in addition to VA-ECMO, secondly to 
      review published studies on the outcome of this combined support, and thirdly to 
      provide a practical overview of the approach to combining Impella and VA-ECMO.
FAU - Lim, Hoong Sern
AU  - Lim HS
AD  - University Hospital Birmingham, Edgbaston, Birmingham, UK. sern.lim@uhb.nhs.uk.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20200518
PL  - England
TA  - Cardiol Ther
JT  - Cardiology and therapy
JID - 101634495
PMC - PMC7584716
OTO - NOTNLM
OT  - Cardiogenic shock
OT  - Extracorporeal membrane oxygenation
OT  - Physiology
EDAT- 2020/05/20 06:00
MHDA- 2020/05/20 06:01
PMCR- 2020/05/18
CRDT- 2020/05/20 06:00
PHST- 2020/04/15 00:00 [received]
PHST- 2020/05/20 06:00 [pubmed]
PHST- 2020/05/20 06:01 [medline]
PHST- 2020/05/20 06:00 [entrez]
PHST- 2020/05/18 00:00 [pmc-release]
AID - 10.1007/s40119-020-00175-6 [pii]
AID - 175 [pii]
AID - 10.1007/s40119-020-00175-6 [doi]
PST - ppublish
SO  - Cardiol Ther. 2020 Dec;9(2):245-255. doi: 10.1007/s40119-020-00175-6. Epub 2020 
      May 18.