PMID- 38092049
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231221
IS  - 2753-670X (Electronic)
IS  - 2753-670X (Linking)
VI  - 37
IP  - 6
DP  - 2023 Dec 5
TI  - Single-vessel access venoarterial extracorporeal membrane oxygenation and Impella 
      technique for acute cardiogenic shock complicated by lung congestion.
LID - ivad201 [pii]
LID - 10.1093/icvts/ivad201 [doi]
AB  - The combination of the Impella and peripheral venoarterial extracorporeal 
      membrane oxygenation (Ecmella) is a promising treatment for critically ill 
      patients. We report a single-access Ecmella approach using the brachiocephalic 
      artery. A 65-year-old woman with acute myocardial infarction involving the left 
      main coronary artery underwent intra-aortic balloon pump and peripheral 
      venoarterial extracorporeal membrane oxygenation (VA-ECMO) placement. Given the 
      progression of pulmonary congestion and lower limb ischaemia, and an axillary 
      artery diameter of 4.9 mm, we decided to perform a single Ecmella approach. A 
      Y-shaped 9-mm Dacron woven graft was anastomosed to the brachiocephalic artery 
      through a reverse T-shaped partial sternotomy. The Impella 5.5 and arterial 
      cannula of VA-ECMO were introduced through each graft. Six days after, VA-ECMO 
      was removed. Sixty-two days after the surgery, the patient received durable left 
      ventricle assist device implantation. In conclusion, haemodynamic support using a 
      single-access Ecmella through brachiocephalic artery allows for managing patients 
      with narrow peripheral arteries.
CI  - (c) Crown copyright 2023.
FAU - Tadokoro, Naoki
AU  - Tadokoro N
AUID- ORCID: 0000-0002-4658-852X
AD  - Department of Cardiovascular Surgery, National Cerebral and Cardiovascular 
      Center, Suita, Japan.
FAU - Tonai, Kohei
AU  - Tonai K
AUID- ORCID: 0000-0003-3410-859X
AD  - Department of Cardiovascular Surgery, National Cerebral and Cardiovascular 
      Center, Suita, Japan.
FAU - Kainuma, Satoshi
AU  - Kainuma S
AD  - Department of Cardiovascular Surgery, National Cerebral and Cardiovascular 
      Center, Suita, Japan.
FAU - Fukushima, Satsuki
AU  - Fukushima S
AUID- ORCID: 0000-0002-9481-8860
AD  - Department of Cardiovascular Surgery, National Cerebral and Cardiovascular 
      Center, Suita, Japan.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Interdiscip Cardiovasc Thorac Surg
JT  - Interdisciplinary cardiovascular and thoracic surgery
JID - 9918540787006676
SB  - IM
OTO - NOTNLM
OT  - Brachiocephalic artery
OT  - Ecmella
OT  - Heart failure
OT  - Impella
OT  - Pulmonary congestion
EDAT- 2023/12/14 00:42
MHDA- 2023/12/14 00:43
CRDT- 2023/12/13 19:23
PHST- 2023/07/26 00:00 [received]
PHST- 2023/11/13 00:00 [revised]
PHST- 2023/12/12 00:00 [accepted]
PHST- 2023/12/14 00:43 [medline]
PHST- 2023/12/14 00:42 [pubmed]
PHST- 2023/12/13 19:23 [entrez]
AID - 7471883 [pii]
AID - 10.1093/icvts/ivad201 [doi]
PST - ppublish
SO  - Interdiscip Cardiovasc Thorac Surg. 2023 Dec 5;37(6):ivad201. doi: 
      10.1093/icvts/ivad201.