Issues on left ventricular decompression during veno-arterial extracorporeal membrane oxygenation in cardiogenic shock patients
- VernacularTitle:心源性休克患者外周静脉-动脉体外膜肺氧合支持下左心减压的相关问题
- Author:
Yangbo YAN
1
;
Changping GAN
1
Author Information
1. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Extracorporeal membrane oxygenation;
veno-arterial extracorporeal membrane oxygenation;
left ventricular decompression;
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(09):1114-1118
- CountryChina
- Language:Chinese
-
Abstract:
Although extracorporeal membrane oxygenation (ECMO) has been in existence since the 1970s as a means of supporting respiratory or cardiac function, early application of this technology was plagued by high complication rates. Peripheral veno-arterial extracorporeal membrane oxygenation (V-A ECMO) causes higher left ventricular end-diastolic pressure, pulmonary edema, left ventricular distention, ventricular arrhythmia, low coronary perfusion, myocardial ischemia, substantial thrombus formation within left ventricule cavity and even multiple organ dysfunction. Mechanical left ventricular decompression is required to treat these related complications. In this article, we reviewed the problems associated with left ventricular decompression supported by peripheral V-A ECMO in patients with cardiogenic shock.
