The Physiologic Basis and Clinical Outcomes of Combined Impella and Veno-Arterial Extracorporeal Membrane Oxygenation Support in Cardiogenic Shock

被引：5
|
作者：
Lim, Hoong Sern [1 ]
机构：
[1] Univ Hosp Birmingham, Birmingham, W Midlands, England
来源：
CARDIOLOGY AND THERAPY | 2020年 / 9卷 / 02期
关键词：
Cardiogenic shock; Extracorporeal membrane oxygenation; Physiology; VENTRICULAR ASSIST DEVICE; PERCUTANEOUS CORONARY INTERVENTION; FLOW; DISTENSION; MANAGEMENT; RECOVERY; THERAPY; RESERVE; SAFETY; TRIAL;
D O I：
10.1007/s40119-020-00175-6
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) provides effective hemodynamic support in cardiogenic shock, but in some cases may be complicated by left ventricular (LV) distension and pulmonary edema. The Impella, a catheter-mounted microaxial pump has been used to unload the LV. Recent studies have compared the clinical outcomes of VA-ECMO to the combination of Impella and VA-ECMO. The purpose of this review is threefold: firstly, to discuss the physiological effects of Impella support in addition to VA-ECMO, secondly to review published studies on the outcome of this combined support, and thirdly to provide a practical overview of the approach to combining Impella and VA-ECMO.
引用
收藏
页码：245 / 255
页数：11
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