Single arterial access technique for simultaneous dual mechanical circulatory support in cardiogenic shock

被引:0
作者
Fardman, Alexander [1 ,2 ]
Dranishnikov, Nikolay [3 ]
Nersesian, Gaik [4 ,5 ]
Falk, Volkmar [4 ,5 ,6 ,7 ,8 ,9 ,10 ]
Potapov, Evgenij [4 ,5 ]
机构
[1] Leviev Cardiothorac & Vasc Ctr, Sheba Med Ctr, Cardiol Div, Tel Hashomer, Israel
[2] Tel Aviv Univ, Sackler Sch Med, Ramat Aviv, Israel
[3] Deutsch Herzzentrum Charite DHZC, Dept Cardiac Anesthesiol & Intens Care Med, Augustenburger Pl 1, D-13353 Berlin, Germany
[4] Deutsch Herzzentrum Charite DHZC, Dept Cardiothorac & Vasc Surg, Augustenburger Pl 1, D-13353 Berlin, Germany
[5] DHZK German Ctr Cardiovasc Res, Partner Site Berlin, Berlin, Germany
[6] Charite Univ Med Berlin, Dept Cardiothorac Surg, Berlin, Germany
[7] Free Univ Berlin, Berlin, Germany
[8] Humboldt Univ, Berlin, Germany
[9] Berlin Inst Hlth, Berlin, Germany
[10] Swiss Fed Inst Technol, Dept Hlth Sci & Technol, Zurich, Switzerland
关键词
Cardiogenic shock; Intra<bold>-</bold>aortic balloon pump; Veno-arterial extracorporeal life support; Ventricular unloading;
D O I
10.1186/s13019-024-02581-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Temporary mechanical circulatory support is a treatment of choice for patients in severe cardiogenic shock. Combining veno-arterial extracorporeal life support (ECLS) with devices that enable left ventricular unloading emerges as a promising strategy to diminish detrimental effect of elevated left ventricular afterload and to improve survival. However, the need to establish multiple arterial access sites remains a major drawback of this approach due to a significant rate of vascular complications. We describe herein a case of a single arterial access for ECLS and intra-aortic balloon pump using axillary artery that may provide a simple, modular and flexible approach for escalation or de-escalation of mechanical circulatory support.
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页数:4
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