Left Ventricular Unloading in Extracorporeal Membrane Oxygenation: A Clinical Perspective Derived from Basic Cardiovascular Physiology

• Published in: Current cardiology reports Vol. 26; no. 7; pp. 661 - 667
• Main Authors: Protti, I., van Steenwijk, M. P. J., Meani, P., Fresiello, L., Meuwese, C. L., Donker, D. W.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.07.2024
• Subjects: Cardiology; Cardiovascular Critical Care (A Higgins and R Lee; Cardiovascular Critical Care (A Higgins and R Lee, Section Editors); Extracorporeal Membrane Oxygenation - methods; Heart Ventricles - physiopathology; Heart-Assist Devices; Humans; Medicine; Medicine & Public Health; Myocardial Infarction - physiopathology; Myocardial Infarction - therapy; Section Editors; Shock, Cardiogenic - physiopathology; Shock, Cardiogenic - therapy; Topical Collection on Cardiovascular Critical Care; Ventricular Function, Left - physiology; Temporary mechanical circulatory support (TCS); Computational physiological modeling; Mechanical circulatory support (MCS); Extracorporeal life support (ECLS); Impella; Intra-aortic balloon pump (IABP); Left ventricular unloading; Veno-arterial extracorporeal membrane oxygenation (V-A ECMO)

Purpose of Review To present an abridged overview of the literature and pathophysiological background of adjunct interventional left ventricular unloading strategies during veno-arterial extracorporeal membrane oxygenation (V-A ECMO). From a clinical perspective, the mechanistic complexity of such c...