Overview of Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) Support for the Management of Cardiogenic Shock

被引：82
|
作者：
Tsangaris, Adamantios [1 ]
Alexy, Tamas [1 ]
Kalra, Rajat [1 ]
Kosmopoulos, Marinos [2 ]
Elliott, Andrea [1 ]
Bartos, Jason A. [1 ,2 ]
Yannopoulos, Demetris [1 ,2 ]
机构：
[1] Univ Minnesota, Dept Med, Div Cardiol, Box 736 UMHC, Minneapolis, MN 55455 USA
[2] Univ Minnesota, Sch Med, Ctr Resuscitat Med, Minneapolis, MN 55455 USA
来源：
FRONTIERS IN CARDIOVASCULAR MEDICINE | 2021年 / 8卷
关键词：
extracorporeal membrane oxygenation; cardiogenic shock; mechanical circulatory support; VA-ECMO indications; VA-ECMO complications; ACUTE MYOCARDIAL-INFARCTION; HOSPITAL CARDIAC-ARREST; MECHANICAL CIRCULATORY SUPPORT; VENTRICULAR ASSIST DEVICE; ST-SEGMENT ELEVATION; MASSIVE PULMONARY-EMBOLISM; PERCUTANEOUS CORONARY INTERVENTION; ACUTE FULMINANT MYOCARDITIS; LIFE-SUPPORT; CARDIOPULMONARY-RESUSCITATION;
D O I：
10.3389/fcvm.2021.686558
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Cardiogenic shock accounts for similar to 100,000 annual hospital admissions in the United States. Despite improvements in medical management strategies, in-hospital mortality remains unacceptably high. Multiple mechanical circulatory support devices have been developed with the aim to provide hemodynamic support and to improve outcomes in this population. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is the most advanced temporary life support system that is unique in that it provides immediate and complete hemodynamic support as well as concomitant gas exchange. In this review, we discuss the fundamental concepts and hemodynamic aspects of VA-ECMO support in patients with cardiogenic shock of various etiologies. In addition, we review the common indications, contraindications and complications associated with VA-ECMO use.
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页数：17
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