open access

Vol 47, No 4 (2015)
Original and clinical articles
Submitted: 2015-09-20
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Application of V-A ECMO therapies for short-term mechanical circulatory support in patients with cardiogenic shock

Robert Musiał, Tomasz Darocha, Sylweriusz Kosiński, Jarosław Stoliński, Jerzy Sadowski, Rafał Drwiła
DOI: 10.5603/AIT.2015.0046
·
Anaesthesiol Intensive Ther 2015;47(4):324-327.

open access

Vol 47, No 4 (2015)
Original and clinical articles
Submitted: 2015-09-20

Abstract

BACKGROUND: The aim of the study was to present our experience with short-term mechanical circulatory support by veno-arterial extracorporeal membrane oxygenation (V-A ECMO). A series of cases is described involving patients with symptoms of severe cardiogenic shock successfully treated with V-A ECMO.

CASE REPORTS: Depending on indications, veno-venous (V-V) or veno-arterial (V-A) ECMO can be used. The patients described here presented symptoms of severe cardiogenic shock and the ECMO kit was successfully applied as an element of circulatory support. V-A ECMO was used as a bridge to recovery in a patient after pulmonary artery embolectomy and a bridge to heart transplantation in a patient with giant cell myocarditis; in the third case, ECMO was applied to the treatment of cardiogenic shock in deep hypothermia.

CONCLUSIONS: The number of cases in which ECMO has been successfully applied in patients with cardiogenic shock and in deep hypothermia is increasingly high; therefore, it seems advisable to elaborate ECMO guidelines to be used in such situations. V-A ECMO is an effective and recognized method of treatment of patients in cardiogenic shock and deep hypothermia.

Abstract

BACKGROUND: The aim of the study was to present our experience with short-term mechanical circulatory support by veno-arterial extracorporeal membrane oxygenation (V-A ECMO). A series of cases is described involving patients with symptoms of severe cardiogenic shock successfully treated with V-A ECMO.

CASE REPORTS: Depending on indications, veno-venous (V-V) or veno-arterial (V-A) ECMO can be used. The patients described here presented symptoms of severe cardiogenic shock and the ECMO kit was successfully applied as an element of circulatory support. V-A ECMO was used as a bridge to recovery in a patient after pulmonary artery embolectomy and a bridge to heart transplantation in a patient with giant cell myocarditis; in the third case, ECMO was applied to the treatment of cardiogenic shock in deep hypothermia.

CONCLUSIONS: The number of cases in which ECMO has been successfully applied in patients with cardiogenic shock and in deep hypothermia is increasingly high; therefore, it seems advisable to elaborate ECMO guidelines to be used in such situations. V-A ECMO is an effective and recognized method of treatment of patients in cardiogenic shock and deep hypothermia.

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Keywords

cardiogenic shock, deep hypothermia, extracorporeal life support, extracorporeal membrane oxygenation

About this article
Title

Application of V-A ECMO therapies for short-term mechanical circulatory support in patients with cardiogenic shock

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 47, No 4 (2015)

Pages

324-327

DOI

10.5603/AIT.2015.0046

Bibliographic record

Anaesthesiol Intensive Ther 2015;47(4):324-327.

Keywords

cardiogenic shock
deep hypothermia
extracorporeal life support
extracorporeal membrane oxygenation

Authors

Robert Musiał
Tomasz Darocha
Sylweriusz Kosiński
Jarosław Stoliński
Jerzy Sadowski
Rafał Drwiła

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