PMID- 35446478
OWN - NLM
STAT- MEDLINE
DCOM- 20220713
LR  - 20220803
IS  - 1522-726X (Electronic)
IS  - 1522-1946 (Print)
IS  - 1522-1946 (Linking)
VI  - 100
IP  - 1
DP  - 2022 Jul
TI  - Novel method for left ventricular unloading utilizing percutaneous pulmonary 
      artery drainage in cardiorespiratory failure due to COVID-19 infection.
PG  - 175-178
LID - 10.1002/ccd.30212 [doi]
AB  - Left ventricular (LV) unloading is an important concept in patients undergoing 
      peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO). We present 
      a case of a 32-year-old male in acute cardiorespiratory collapse due to 
      coronavirus disease (COVID-19) who underwent VA-ECMO cannulation in the setting 
      of cardiogenic shock and acute respiratory distress syndrome. Due to inability to 
      utilize percutaneous LV assist device (pLVAD) for LV unloading due to small end 
      diastolic dimension, alternative strategies were explored. A traditionally 
      utilized right ventricular support device, the ProTek Duo (TandemLife, 
      Pittsburgh, PA), was utilized to drain the pulmonary artery, leading to 
      improvement in parameters for cardiogenic shock. To our knowledge, this is the 
      first case in which a ProTek Duo has been utilized in conjunction with VA-ECMO to 
      provide LV unloading in support of a patient in cardiogenic shock. This method 
      can be employed in future challenging situations where pLVAD is not feasible.
CI  - (c) 2022 Wiley Periodicals LLC.
FAU - Kumar, Kris
AU  - Kumar K
AUID- ORCID: 0000-0003-4797-1165
AD  - Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science 
      University, Portland, Oregon, USA.
FAU - Coonse, Kendra
AU  - Coonse K
AD  - Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science 
      University, Portland, Oregon, USA.
FAU - Zakhary, Bishoy
AU  - Zakhary B
AD  - Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science 
      University, Portland, Oregon, USA.
FAU - Cigarroa, Joaquin E
AU  - Cigarroa JE
AD  - Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science 
      University, Portland, Oregon, USA.
LA  - eng
PT  - Case Reports
DEP - 20220421
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
SB  - IM
MH  - Adult
MH  - *COVID-19/complications
MH  - *Drainage/methods
MH  - *Heart Failure/therapy/virology
MH  - Humans
MH  - Male
MH  - Pulmonary Artery
MH  - *Respiratory Insufficiency/therapy/virology
MH  - Shock, Cardiogenic/therapy
MH  - Treatment Outcome
PMC - PMC9083814
OTO - NOTNLM
OT  - COVID-19
OT  - cardiogenic shock
OT  - heart failure
OT  - mechanical circulatory support
COIS- The authors declare no conflicts of interest.
EDAT- 2022/04/22 06:00
MHDA- 2022/07/14 06:00
PMCR- 2022/04/21
CRDT- 2022/04/21 12:16
PHST- 2021/09/16 00:00 [received]
PHST- 2022/04/07 00:00 [accepted]
PHST- 2022/04/22 06:00 [pubmed]
PHST- 2022/07/14 06:00 [medline]
PHST- 2022/04/21 12:16 [entrez]
PHST- 2022/04/21 00:00 [pmc-release]
AID - CCD30212 [pii]
AID - 10.1002/ccd.30212 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2022 Jul;100(1):175-178. doi: 10.1002/ccd.30212. Epub 
      2022 Apr 21.