Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock

Andrea Elliott; Garima Dahyia; Rajat Kalra; Tamas Alexy; Jason Bartos; Marinos Kosmopoulos; Demetri Yannopoulos

doi:10.15420/usc.2021.13

Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock

Andrea Elliott, Garima Dahyia, Rajat Kalra, Tamas Alexy, Jason Bartos, Marinos Kosmopoulos, Demetri Yannopoulos

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Abstract

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.

Original language	English (US)
Article number	13
Journal	US Cardiology Review
Volume	15
DOIs	https://doi.org/10.15420/usc.2021.13
State	Published - 2021

Bibliographical note

Publisher Copyright:
© 2021 Radcliffe Group Ltd. All rights reserved.

Keywords

Cardiac arrest
Cardiogenic shock
Extracorporeal cardiopulmonary resuscitation
Hemodynamic support
Keywords veno-arterial extracorporeal membrane oxygenation
Left ventricular unloading
Mechanical circulatory support

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10.15420/usc.2021.13

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title = "Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock",

abstract = "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.",

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journal = "US Cardiology",

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AU - Elliott, Andrea

AU - Dahyia, Garima

AU - Kalra, Rajat

AU - Alexy, Tamas

AU - Bartos, Jason

AU - Kosmopoulos, Marinos

AU - Yannopoulos, Demetri

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.

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KW - Left ventricular unloading

KW - Mechanical circulatory support

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Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock

Abstract

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Keywords

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