Left Ventricular Decompression During Peripheral Extracorporeal Membrane Oxygenation Support With the Use of the Novel iVAC Pulsatile Paracorporeal Assist Device

被引:14
作者
Anastasiadis, Kyriakos [1 ]
Chalvatzoulis, Omiros [1 ]
Antonitsis, Polychronis [1 ]
Tossios, Paschalis [1 ]
Papakonstantinou, Christos [1 ]
机构
[1] Aristotle Univ Thessaloniki, Dept Cardiothorac Surg, AHEPA Hosp, GR-54006 Thessaloniki, Greece
关键词
BYPASS GRAFT-SURGERY; PUMP;
D O I
10.1016/j.athoracsur.2011.05.063
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Extracorporeal membrane oxygenation (ECMO) has become a widely accepted short-term mechanical circulatory support device in patients with refractory cardiogenic shock. A major drawback of the peripheral venoarterial extracorporeal membrane oxygenation is that in patients with profoundly reduced left ventricular contractility associated with high left-heart filling pressure, there is always concern for venting the failing ventricle. We describe a minimally invasive technique for decompressing the left ventricle in this setting using a novel pulsatile paracorporeal assist device, the iVAC 3L (PulseCath, Groningen, The Netherlands). It is implanted through the right axillary artery and provides hemodynamic support while directly off-loading the left ventricle. (Ann Thorac Surg 2011; 92:2257-9) (C) 2011 by The Society of Thoracic Surgeons
引用
收藏
页码:2257 / 2259
页数:4
相关论文
共 6 条
[1]   PulseCath, a new short-term ventricular assist device: our experience in off-pump coronary artery bypass graft surgery [J].
Amico, Alessio ;
Brigiani, Mario Siro ;
Vallabini, Albino ;
Ferrante, Beniamino ;
Marzovillo, Angelo ;
Loizzi, Domenico ;
Carbone, Carmine .
JOURNAL OF CARDIOVASCULAR MEDICINE, 2008, 9 (04) :423-426
[2]   Extracorporeal membrane oxygenation to support adult patients with cardiac failure: predictive factors of 30-day mortality [J].
Formica, Francesco ;
Avalli, Leonello ;
Colagrande, Luisa ;
Ferro, Orazio ;
Greco, Gianluca ;
Maggioni, Elena ;
Paolini, Giovanni .
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2010, 10 (05) :721-726
[3]   Minimally invasive left-heart decompression during venoarterial extracorporeal membrane oxygenation: an alternative to a percutaneous approach [J].
Guirgis, Mina ;
Kumar, Kanwal ;
Menkis, Alan H. ;
Freed, Darren H. .
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2010, 10 (05) :672-674
[4]   Left atrial decompression by percutaneous cannula placement while on extracorporeal membrane oxygenation [J].
Hlavacek, AM ;
Atz, AM ;
Bradley, SM ;
Bandisode, VM .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2005, 130 (02) :595-596
[5]   Off-pump coronary artery bypass graft surgery with a pulsatile catheter pump for left ventricular dysfunction [J].
Mariani, Massimo A. ;
Diephuis, Jan C. ;
Kuipers, Martin J. H. ;
Gianoli, Monica ;
Grandjean, Jan G. .
ANNALS OF THORACIC SURGERY, 2007, 84 (02) :690-692
[6]   Ventricular unloading with a miniature axial flow pump in combination with extracorporeal membrane oxygenation [J].
Vlasselaers, D ;
Desmet, M ;
Desmet, L ;
Meyns, B ;
Dens, J .
INTENSIVE CARE MEDICINE, 2006, 32 (02) :329-333