Temporary Circulatory Support and Extracorporeal Membrane Oxygenation

Kimber Eleuteri; Michael Mathias Koerner; Douglas Horstmanshof; Aly El Banayosy

doi:10.1016/j.ccl.2018.06.002

Temporary Circulatory Support and Extracorporeal Membrane Oxygenation

Cardiol Clin. 2018 Nov;36(4):473-485. doi: 10.1016/j.ccl.2018.06.002.

Authors

Kimber Eleuteri¹, Michael Mathias Koerner², Douglas Horstmanshof³, Aly El Banayosy³

Affiliations

¹ Mechanical Circulatory Support, Medtronic, 500 Old Connecticut Path, Framingham, MA 01701, USA. Electronic address: keleuteri@gmail.com.
² Cardiovascular Intensive Care, Integris Baptist Medical Center, 3300 Northwest Expressway, Oklahoma City, OK 73112, USA.
³ Department of Heart Failure Cardiology, Integris Baptist Medical Center, 3300 Northwest Expressway, Oklahoma City, OK 73112, USA.

PMID: 30297065
DOI: 10.1016/j.ccl.2018.06.002

Abstract

Cardiogenic shock (CS) refractory to conventional therapies continues to be a challenging medical syndrome, with poor prognosis and high complication and mortality rates. The application and use of temporary mechanical circulatory support (MCS) is a component in the treatment of CS patients and should be applied early in the presentation. Crucial to the success of their application, temporary MCS devices should be chosen based on degree of patient acuity and etiology of CS. Not all temporary MCS devices deliver the same degree of hemodynamic support and range from minimal support to systemic support via veno-arterial extracorporeal membrane oxygenation.

Keywords: Acute on chronic heart failure; Cardiogenic shock; Decompensated heart failure; ECMO; Temporary mechanical circulatory support; V-A ECMO.

Publication types

Review

MeSH terms

Extracorporeal Membrane Oxygenation / methods*
Heart Failure / surgery*
Heart-Assist Devices*
Humans