Strategies for Left Ventricular Decompression During Venoarterial Extracorporeal Membrane Oxygenation - A Narrative Review

Desai, Suneel Ramesh; Hwang, Nian Chih

doi:10.1053/j.jvca.2019.08.024

Cited by 19 publications

(15 citation statements)

References 106 publications

(110 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A review paper showed an increased use of percutaneous techniques, confirming the growing attention on non-invasive approaches 13 . The percutaneous approach might consist of placing a venting cannula in the Pulmonary Artery or in the left side through the Trans-Aortic or trans-septal approach.…”

Section: Venting Techniquesmentioning

confidence: 82%

ECPella: Concept, Physiology and Clinical Applications

Meani

Lorusso

Pappalardo

2022

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

Section: Venting Techniquesmentioning

confidence: 82%

ECPella: Concept, Physiology and Clinical Applications

Meani

Lorusso

Pappalardo

2022

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

show abstract

“…7 Strategies to decompress the left ventricle, including impella, balloon atrial septostomy (with or without atrial stenting), a separate transseptal LA cannula (i.e., Tan-demHeart), transaortic cannula from the left subclavian, a cannula in the pulmonary artery, and direct percutaneous apical LV venting. 3,6 Furthermore, LA-VA ECMO has been described in which a single multistage cannula is used to vent both atria. 8 Dulnuan reported three patients using this technique with effective decompression of the LA and improvement of pulmonary edema.…”

Section: Discussionmentioning

confidence: 99%

“…Generally venting is utilized in cases of pulmonary edema, ventricular distension secondary to high afterload, and inadequate venous drainage as well as with hearts without obvious ejection and a closed aortic valve or a significant left‐sided valvular regurgitation 7 . Strategies to decompress the left ventricle, including impella, balloon atrial septostomy (with or without atrial stenting), a separate transseptal LA cannula (i.e., TandemHeart), transaortic cannula from the left subclavian, a cannula in the pulmonary artery, and direct percutaneous apical LV venting 3,6 . Furthermore, LA‐VA ECMO has been described in which a single multistage cannula is used to vent both atria 8 .…”

Section: Discussionmentioning

confidence: 99%

Femoral venoarterial extracorporeal membrane oxygenation using a novel biatrial cannula for venous drainage and left ventricular venting

et al. 2020

View full text Add to dashboard Cite

Extracorporeal life support (ECLS) is an expanding technology for patients in cardiogenic shock. The majority of patients requiring ECLS can be managed with percutaneous venoarterial (VA) femoral cannulation. Despite sufficient extracorporeal circulatory support, a unclear number of patients develop left ventricular distension which can result in increased wall tension and stress as well as worsening pulmonary edema. Indications to vent the left ventricle can be controversial. When venting is indicated, a number of additional procedures may be considered including inotropic support, intra-aortic balloon pump, impella, balloon atrial septostomy, or placement of a transseptal cannula. We present a unique case of a femoral VA extracorporeal membrane oxygenation as a bridge to transplant with left-sided venting using a Bio-Medicus NextGen cannula (Medtronic) with a transseptal approach.

show abstract

“…Resulting pulmonary hypertension and pulmonary edema diminishes the likelihood of ECMO weaning. In order to maximize the likelihood of cardiac recovery, some authors recommend LV decompression during VA-ECMO (4). The indication to vent the LV remains controversial.…”

Section: Discussionmentioning

confidence: 99%

Femoral Veno-Arterial Extracorporeal Membrane Oxygenation using a novel bi-atrial cannula for venous dranaige and left ventricular venting

Orozco-Hernandez¹,

Ahmed²,

Meering³

et al. 2020

Preprint

View full text Add to dashboard Cite

Extracorporeal life support (ECLS) is an expanding technology for patients in cardiogenic shock. Most patients requiring ECLS can be managed with percutaneous veno-arterial (VA) femoral cannulation. Despite sufficient extracorporeal circulatory support, an unclear number of patients develop left ventricular distension which can result in increased wall tension and stress as well as worsening pulmonary edema. Indications to vent the left ventricle can be controversial. When venting is indicated a number of additional procedures may be considered including inotropic support, intra-aortic balloon pump, Impella, balloon atrial septostomy, or placement of a transseptal cannula. We present a unique case of a femoral VA Extracorporeal membrane oxygenation (ECMO) as bridge to transplant (BTT) with left-sided venting using a Bio-medicus NextGen cannula (Medtronic) with a transseptal approach.

show abstract

Strategies for Left Ventricular Decompression During Venoarterial Extracorporeal Membrane Oxygenation - A Narrative Review

Cited by 19 publications

References 106 publications

ECPella: Concept, Physiology and Clinical Applications

ECPella: Concept, Physiology and Clinical Applications

Femoral venoarterial extracorporeal membrane oxygenation using a novel biatrial cannula for venous drainage and left ventricular venting

Femoral Veno-Arterial Extracorporeal Membrane Oxygenation using a novel bi-atrial cannula for venous dranaige and left ventricular venting

Contact Info

Product

Resources

About