ECMELLA 2.0: Single Arterial Access Technique for a Staged Approach in Cardiogenic Shock.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32918864.
- Also identified by DOI 10.1016/j.athoracsur.2020.06.084.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
The main drawbacks of venoarterial extracorporeal life support (VA-ECLS) for cardiogenic shock are incomplete left ventricular unloading with concomitant pulmonary edema and vascular access site complications. We describe the staged treatment technique for severe cardiogenic shock with a combination of the Impella 5.0/5.5 (Abiomed Inc, Danvers, MA) and peripheral ECLS (ECMELLA) using a single arterial access in 2 consecutive patients with refinement of the technique in the second case. The arterial cannula was inserted through the same vascular graft in the axillary artery that served as access for the previously implanted microaxial blood pump.
Medical subject headings
- Heart Ventricles
- Heart-Assist Devices
- Prosthesis Implantation
- Recovery of Function
- Shock, Cardiogenic