Left ventricular decompression during peripheral extracorporeal membrane oxygenation support with the use of the novel iVAC pulsatile paracorporeal assist device.
| Title | Left ventricular decompression during peripheral extracorporeal membrane oxygenation support with the use of the novel iVAC pulsatile paracorporeal assist device. |
| Publication Type | Journal Article |
| Year of Publication | 2011 |
| Authors | Anastasiadis, K., Chalvatzoulis O., Antonitsis P., Tossios P., & Papakonstantinou C. |
| Journal | Ann Thorac Surg |
| Volume | 92 |
| Issue | 6 |
| Pagination | 2257-9 |
| Date Published | 2011 Dec |
| ISSN | 1552-6259 |
| Keywords | Adult, Decompression, Surgical, Extracorporeal Membrane Oxygenation, Heart-Assist Devices, Humans, Minimally Invasive Surgical Procedures |
| Abstract | Extracorporeal membrane oxygenation (ECMO) has become a widely accepted short-term mechanical circulatory support device in patients with refractory cardiogenic shock. A major drawback of the peripheral venoarterial extracorporeal membrane oxygenation is that in patients with profoundly reduced left ventricular contractility associated with high left-heart filling pressure, there is always concern for venting the failing ventricle. We describe a minimally invasive technique for decompressing the left ventricle in this setting using a novel pulsatile paracorporeal assist device, the iVAC 3L (PulseCath, Groningen, The Netherlands). It is implanted through the right axillary artery and provides hemodynamic support while directly off-loading the left ventricle. |
| DOI | 10.1016/j.athoracsur.2011.05.063 |
| Alternate Journal | Ann. Thorac. Surg. |
| PubMed ID | 22115242 |
