TY - JOUR
T1 - Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock
AU - Elliott, Andrea
AU - Dahyia, Garima
AU - Kalra, Rajat
AU - Alexy, Tamas
AU - Bartos, Jason
AU - Kosmopoulos, Marinos
AU - Yannopoulos, Demetri
N1 - Publisher Copyright:
© 2021 Radcliffe Group Ltd. All rights reserved.
PY - 2021
Y1 - 2021
N2 - The rising incidence and recognition of cardiogenic shock has led to an increase in the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). As clinical experience with this therapy has increased, there has also been a rapid growth in the body of observational and randomized data describing the clinical and logistical considerations required to institute a VA-ECMO program with successful clinical outcomes. The aim of this review is to summarize this contemporary data in the context of four key themes that pertain to VA-ECMO programs: the principles of patient selection; basic hemodynamic and technical principles underlying VA-ECMO; contraindications to VA-ECMO therapy; and common complications and intensive care considerations that are encountered in the setting of VA-ECMO therapy.
AB - The rising incidence and recognition of cardiogenic shock has led to an increase in the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). As clinical experience with this therapy has increased, there has also been a rapid growth in the body of observational and randomized data describing the clinical and logistical considerations required to institute a VA-ECMO program with successful clinical outcomes. The aim of this review is to summarize this contemporary data in the context of four key themes that pertain to VA-ECMO programs: the principles of patient selection; basic hemodynamic and technical principles underlying VA-ECMO; contraindications to VA-ECMO therapy; and common complications and intensive care considerations that are encountered in the setting of VA-ECMO therapy.
KW - Cardiac arrest
KW - Cardiogenic shock
KW - Extracorporeal cardiopulmonary resuscitation
KW - Hemodynamic support
KW - Keywords veno-arterial extracorporeal membrane oxygenation
KW - Left ventricular unloading
KW - Mechanical circulatory support
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U2 - 10.15420/usc.2021.13
DO - 10.15420/usc.2021.13
M3 - Article
AN - SCOPUS:85120820833
SN - 1758-3896
VL - 15
JO - US Cardiology Review
JF - US Cardiology Review
M1 - 13
ER -