Extracorporeal Membrane Oxygenation for Protected Catheter Ablation in A Post-Cardiotomy Patient With Electrical Storm

被引：1
|
作者：
Norawat, Rahul [1 ,2 ]
Maybauer, Marc O. [1 ,2 ,3 ,4 ,5 ]
O'Keeffe, Niall [1 ,2 ]
Vohra, Akbar [1 ,2 ]
机构：
[1] Manchester Univ NHS Fdn Trust, Manchester Acad Hlth Sci Ctr, Cardiothorac Anaesthesia & Intens Care, Manchester Royal Infirm, Manchester, Lancs, England
[2] Univ Manchester, Manchester, Lancs, England
[3] Univ Florida, Coll Med, Dept Anaesthesiol, Div Crit Care Med, Gainesville, FL USA
[4] Philipps Univ, Dept Anaesthesia & Intens Care, Marburg, Germany
[5] Univ Queensland, Prince Charles Hosp, Crit Care Res Grp, Brisbane, Qld, Australia
来源：
ANNALS OF CARDIAC ANAESTHESIA | 2024年 / 27卷 / 03期
关键词：
ECLS; extracorporeal life support; ECMO; MCS; mechanical circulatory support; VENTRICULAR-TACHYCARDIA;
D O I：
10.4103/aca.aca_180_23
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
An electrical storm (ES) refers to multiple occurrences of ventricular arrhythmias within a short time. Catheter ablation is a treatment option for ES but can be challenging in unstable cardiovascular patients. We present the case of a 50-year-old patient with poor left ventricular function who experienced ES after emergency coronary artery bypass grafting (CABG). Despite maximal antiarrhythmic therapy, the patient had recurrent ventricular tachycardia and fibrillation (VT/VF), hindering catheter ablation. Elective venoarterial extracorporeal membrane oxygenation (ECMO) support was established, allowing a successful second catheter ablation attempt without complications. The patient was weaned off ECMO the following day and remained in normal sinus rhythm.
引用
收藏
页码：256 / 259
页数：4
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