Percutaneous bi-atrial extracorporeal membrane oxygenation for acute circulatory support in advanced heart failure

Marwan Jumean, Duc Thinh Pham, Navin K. Kapur*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) may improve survival after cardiac arrest by providing cardiopulmonary support. However, VA-ECMO increases left ventricular (LV) afterload, which can promote progressive LV distension and often requires a secondary approach to reduce LV pressure and volume in patients with left heart failure. We report a case of biventricular unloading via biatrial cannulation in the presence of LV thrombus using a TandemHeart percutaneous trans-septal cannula for VA-ECMO in an adult patient with refractory ventricular fibrillation.

Original languageEnglish (US)
Pages (from-to)1097-1099
Number of pages3
JournalCatheterization and Cardiovascular Interventions
Volume85
Issue number6
DOIs
StatePublished - May 1 2015

Keywords

  • ECMO/IABP/Tandem/Impella
  • cardiogenic
  • heart failure
  • mechanical circulatory support
  • shock
  • ventricular assist device

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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