PMID- 38421440 OWN - NLM STAT- Publisher LR - 20240229 IS - 1538-943X (Electronic) IS - 1058-2916 (Linking) DP - 2024 Feb 20 TI - Venoarterial Extracorporeal Membrane Oxygenation Implementation in Septic Shock Rat Model. LID - 10.1097/MAT.0000000000002168 [doi] AB - Septic shock, a global health concern, boasts high mortality rates. Research exploring the efficacy of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in septic shock remains limited. Our study aimed to establish a rodent model employing VA-ECMO in septic shock rats, assessing the therapeutic impact of VA-ECMO on septic shock. Nineteen Sprague-Dawley rats were randomly assigned to sham, septic shock, and (septic shock + VA-ECMO; SSE) groups. Septic shock was induced by intravenous lipopolysaccharides, confirmed by a mean arterial pressure drop to 25-30% of baseline. Rats in the SSE group received 2 hours of VA-ECMO support and 60 minutes of post-weaning ventilation. Sham and septic shock groups underwent mechanical ventilation for equivalent durations. Invasive mean arterial pressure monitoring, echocardiographic examinations, and blood gas analysis revealed the efficacy of VA-ECMO in restoring circulation and ensuring adequate tissue oxygenation in septic shock rats. Post-experiment pathology exhibited the potential of VA-ECMO in mitigating major organ injury. In summary, our study successfully established a stable septic shock rat model with the implementation of VA-ECMO, offering a valuable platform to explore molecular mechanisms underlying VA-ECMO's impact on septic shock. CI - Copyright (c) 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the ASAIO. FAU - Wang, Tianlong AU - Wang T AD - From the Department of Cardiopulmonary Bypass, Fuwai Hospital, National Center for Cardiovascular Disease, State Key Laboratory of Cardiovascular Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Zhang, Mingru AU - Zhang M AD - Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - Dong, Wenhao AU - Dong W AD - Surgical IntensiveCare Unit, Beijing Shijitan Hospital, Capital Medical University, Beijing, China. FAU - Wang, Jing AU - Wang J AD - From the Department of Cardiopulmonary Bypass, Fuwai Hospital, National Center for Cardiovascular Disease, State Key Laboratory of Cardiovascular Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Zhang, Han AU - Zhang H AD - From the Department of Cardiopulmonary Bypass, Fuwai Hospital, National Center for Cardiovascular Disease, State Key Laboratory of Cardiovascular Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. FAU - Wang, Yuefu AU - Wang Y AD - Surgical IntensiveCare Unit, Beijing Shijitan Hospital, Capital Medical University, Beijing, China. FAU - Ji, Bingyang AU - Ji B AD - From the Department of Cardiopulmonary Bypass, Fuwai Hospital, National Center for Cardiovascular Disease, State Key Laboratory of Cardiovascular Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. LA - eng PT - Journal Article DEP - 20240220 PL - United States TA - ASAIO J JT - ASAIO journal (American Society for Artificial Internal Organs : 1992) JID - 9204109 SB - IM COIS- Disclosure: The authors have no conflicts of interest to report. EDAT- 2024/02/29 12:42 MHDA- 2024/02/29 12:42 CRDT- 2024/02/29 11:07 PHST- 2024/02/29 12:42 [medline] PHST- 2024/02/29 12:42 [pubmed] PHST- 2024/02/29 11:07 [entrez] AID - 00002480-990000000-00422 [pii] AID - 10.1097/MAT.0000000000002168 [doi] PST - aheadofprint SO - ASAIO J. 2024 Feb 20. doi: 10.1097/MAT.0000000000002168.