Transcatheter aortic valve implantation under extracorporeal membrane oxygenation

• Published in: Hirurgija (Moskva) no. 4; p. 66
• Main Authors: Kochergin, N A, Vakkosov, K M, Ganyukov, V I, Tarasov, R S, Shloydo, E A
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2019
• Subjects: transcatheter aortic valve implantation; aortic valve; extracorporeal membrane oxygenation
• ISSN: 0023-1207
• DOI: 10.17116/hirurgia201904166

Transcatheter aortic valve implantation (TAVI) has become the standard treatment for advanced age and high risk patients with severe aortic stenosis. The incidence of life-threatening complications during TAVI has significantly decreased over the last decade due to advanced current surgical experience. However, there is a risk of perioperative life-threatening complications which can require emergency hemodynamic support. Veno-arterial extracorporeal membrane oxygenation (ECMO) may represent an effective strategy for immediate hemodynamic stabilization until further treatment of the underlying complication. It is presented case report of TAVI under ECMO performed at the Kemerovo Research Institute for Complex Issues of Cardiovascular Diseases. Emergency ECMO represents a feasible strategy for stabilization until further treatment of life-threatening complications during TAVI.