Veno-arterial extracorporeal membrane oxygenation in salvage of cardiogenic shock
10.7507/1007-4848.202101035
- VernacularTitle:体外膜肺氧合在心源性休克救治中的应用
- Author:
Ying LIANG
1
;
Fuqing JIANG
2
;
Feilong HEI
1
Author Information
1. Department of Extracorporeal Circulation, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P.R.China
2. Department of Extracorporeal Circulation, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518057, Guangdong, P.R.China
- Publication Type:Journal Article
- Keywords:
Extracorporeal membrane oxygenation (ECMO);
cardiogenic shock;
acute myocardial infarction;
heart transplantation;
cardiac surgery;
extracorporeal cardiopulmonary resuscitation (ECPR);
coronavirus disease 2019
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(11):1365-1370
- CountryChina
- Language:Chinese
-
Abstract:
Cardiogenic shock (CS) describes a physiological state of end-organ hypoperfusion characterized by reduced cardiac output in the presence of adequate intravascular volume. Mortality still remains exceptionally high. Veno-arterial extracorporeal membrane oxygenation (VA ECMO) has become the preferred device for short-term hemodynamic support in patients with CS. ECMO provides the highest cardiac output, complete cardiopulmonary support. In addition, the device has portable characteristics, more familiar to medical personnel. VA ECMO provides cardiopulmonary support for patients in profound CS as a bridge to myocardial recovery. This review provides an overview of VA ECMO in salvage of CS, emphasizing the indications, management and further direction.
