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JACC Heart Fail. 2018 Jun;6(6):503-516. doi: 10.1016/j.jchf.2017.11.017. Epub 2018 Apr 11.

Venoarterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock.

Author information

1
Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: mary.keebler@vanderbilt.edu.
2
Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
3
Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
4
Division of Anesthesiology Critical Care Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.

Abstract

Venoarterial extracorporeal membrane oxygenation has emerged as a viable treatment for patients in cardiogenic shock with biventricular failure and pulmonary dysfunction. Advances in pump and oxygenator technology, cannulation strategies, patient selection and management, and durable mechanical circulatory support have contributed to expanded utilization of this technology. However, challenges remain that require investigation to improve outcomes.

KEYWORDS:

cardiogenic shock; extracorporeal membrane oxygenation; mechanical circulatory support

PMID:
29655828
DOI:
10.1016/j.jchf.2017.11.017

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