Transition from ECMO to left ventricular support via trans-septal cannula using a single CentriMag device

A 67-year-old male presented in cardiogenic shock and multi-system organ failure requiring emergent venous-arterial extracorporeal membrane oxygenation (ECMO). He was deemed ineligible for heart transplantation and a left ventricular assist device (LVAD) was thought to be high risk due to persistent...

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Bibliographic Details
Published inPerfusion Vol. 28; no. 5; pp. 449 - 451
Main Authors DeNino, WF, Yeager, CJ, Steinberg, DH, Toole, JM, Shackelford, AG, Peura, JL
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.09.2013
Sage Publications Ltd
Subjects
Aged
Catheters
Extracorporeal Membrane Oxygenation - instrumentation
Heart Failure - complications
Heart Failure - surgery
Heart Ventricles - surgery
Heart-Assist Devices
Humans
Male
Multiple Organ Failure - complications
Multiple Organ Failure - surgery
Shock, Cardiogenic - complications
Shock, Cardiogenic - surgery
ECMO
cardiogenic shock
trans-septal cannulation
LVAD
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Summary:A 67-year-old male presented in cardiogenic shock and multi-system organ failure requiring emergent venous-arterial extracorporeal membrane oxygenation (ECMO). He was deemed ineligible for heart transplantation and a left ventricular assist device (LVAD) was thought to be high risk due to persistent right heart failure. To determine if he could tolerate left ventricular support alone, a trans-septal cannula was placed via the left femoral vein. Transition from veno-arterial ECMO to isolated left-sided support allowed for risk assessment for LVAD implantation and extubation, providing the patient an opportunity to participate in further clinical decision making.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0267-6591
1477-111X
DOI:10.1177/0267659113491777