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Percutaneous bi‐atrial extracorporeal membrane oxygenation for acute circulatory support in advanced heart failure
Author(s) -
Jumean Marwan,
Pham Duc Thinh,
Kapur Navin K.
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25791
Subject(s) - medicine , extracorporeal membrane oxygenation , cardiology , circulatory system , percutaneous , heart failure , oxygenation
Veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) may improve survival after cardiac arrest by providing cardiopulmonary support. However, VA‐ECMO increases left ventricular (LV) afterload, which can promote progressive LV distension and often requires a secondary approach to reduce LV pressure and volume in patients with left heart failure. We report a case of biventricular unloading via biatrial cannulation in the presence of LV thrombus using a TandemHeart percutaneous trans‐septal cannula for VA‐ECMO in an adult patient with refractory ventricular fibrillation. © 2014 Wiley Periodicals, Inc.