Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock

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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 languageEnglish (US)
Article number13
JournalUS Cardiology Review
Volume15
DOIs
StatePublished - 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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