PMID- 33043795
OWN - NLM
STAT- MEDLINE
DCOM- 20211124
LR  - 20220426
IS  - 1477-111X (Electronic)
IS  - 0267-6591 (Linking)
VI  - 36
IP  - 7
DP  - 2021 Oct
TI  - Successful resuscitation after hyperkalemic cardiac arrest during liver 
      transplantation by converting veno-venous bypass to veno-arterial ECMO.
PG  - 766-768
LID - 10.1177/0267659120963898 [doi]
AB  - INTRODUCTION: Intraoperative cardiac arrest (ICA) is a feared complication during 
      liver transplantation (LTx), typically occurring during reperfusion. 
      Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has been used for 
      post-reperfusion cardiac arrest. CASE REPORT: We present a case of successful 
      resuscitation after hyperkalemic ICA during the pre-anhepatic phase of a second 
      liver transplantation by converting veno-venous bypass (VVB) to VA-ECMO. 
      DISCUSSION: While this technique has been recommended for ICA during reperfusion, 
      it has never been reported during the pre-anhepatic phase. VA-ECMO can be a 
      lifesaving extension to cardiopulmonary resuscitation for ICA during LTx with 
      beneficial neurological outcome by providing perfusion while the cause of ICA is 
      reversed. CONCLUSION: Conversion of VVB to VA-ECMO should be considered in all 
      patients who suffer from ICA during LTx with use of VVB. With VVB installed, 
      conversion to VA-ECMO is fast and effective. If VVB is not used, early VA-ECMO 
      should be considered for ICA.
FAU - Van Hoof, Lucas
AU  - Van Hoof L
AUID- ORCID: 0000-0003-3960-4568
AD  - Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium.
FAU - Rega, Filip
AU  - Rega F
AD  - Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium.
FAU - Devroe, Sarah
AU  - Devroe S
AD  - Department of Anesthesiology, University Hospitals Leuven, Leuven, Belgium.
FAU - Degezelle, Karlien
AU  - Degezelle K
AD  - Department of Perfusion, University Hospitals Leuven, Leuven, Belgium.
FAU - Pirenne, Jacques
AU  - Pirenne J
AD  - Department of Abdominal Transplantation Surgery, University Hospitals Leuven, 
      Leuven, Belgium.
FAU - Neyrinck, Arne
AU  - Neyrinck A
AD  - Department of Anesthesiology, University Hospitals Leuven, Leuven, Belgium.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20201010
PL  - England
TA  - Perfusion
JT  - Perfusion
JID - 8700166
SB  - IM
MH  - *Cardiopulmonary Resuscitation
MH  - *Extracorporeal Membrane Oxygenation
MH  - *Heart Arrest/etiology/therapy
MH  - Humans
MH  - *Liver Transplantation
OTO - NOTNLM
OT  - cardiac arrest
OT  - extracorporeal life support
OT  - liver transplantation
OT  - resuscitation
OT  - veno-arterial ECMO
OT  - venovenous bypass
EDAT- 2020/10/13 06:00
MHDA- 2021/11/25 06:00
CRDT- 2020/10/12 08:47
PHST- 2020/10/13 06:00 [pubmed]
PHST- 2021/11/25 06:00 [medline]
PHST- 2020/10/12 08:47 [entrez]
AID - 10.1177/0267659120963898 [doi]
PST - ppublish
SO  - Perfusion. 2021 Oct;36(7):766-768. doi: 10.1177/0267659120963898. Epub 2020 Oct 
      10.