Academic literature on the topic 'Peripheral veno-arterial ECMO'

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Journal articles on the topic "Peripheral veno-arterial ECMO"

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Biancari, Fausto, Alexander Kaserer, Andrea Perrotti, et al. "Central versus Peripheral Postcardiotomy Veno-Arterial Extracorporeal Membrane Oxygenation: Systematic Review and Individual Patient Data Meta-Analysis." Journal of Clinical Medicine 11, no. 24 (2022): 7406. http://dx.doi.org/10.3390/jcm11247406.

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Background: It is unclear whether peripheral arterial cannulation is superior to central arterial cannulation for postcardiotomy veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Methods: A systematic review was conducted using PubMed, Scopus, and Google Scholar to identify studies on postcardiotomy VA-ECMO for the present individual patient data (IPD) meta-analysis. Analysis was performed according to the intention-to-treat principle. Results: The investigators of 10 studies agreed to participate in the present IPD meta-analysis. Overall, 1269 patients were included in the analysis
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Rao, Prashant, Jarrod Mosier, Joshua Malo, et al. "Peripheral VA-ECMO with direct biventricular decompression for refractory cardiogenic shock." Perfusion 33, no. 6 (2018): 493–95. http://dx.doi.org/10.1177/0267659118761558.

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Cardiogenic shock and cardiac arrest are life-threatening emergencies that result in high mortality rates. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) via peripheral cannulation is an option for patients who do not respond to conventional therapies. Left ventricular (LV) distention is a major limitation with peripheral VA-ECMO and is thought to contribute to poor recovery and the inability to wean off VA-ECMO. We report on a novel technique that combines peripheral VA-ECMO with off-pump insertion of a trans-apical LV venting cannula and a right ventricular decompression cannula
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Blandino Ortiz, Aaron, Mirko Belliato, Lars Mikael Broman, et al. "Early Findings after Implementation of Veno-Arteriovenous ECMO: A Multicenter European Experience." Membranes 11, no. 2 (2021): 81. http://dx.doi.org/10.3390/membranes11020081.

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Extracorporeal membrane oxygenation (ECMO) is increasingly used to treat cardiopulmonary failure in critically ill patients. Peripheral cannulation may be complicated by a persistent low cardiac output in case of veno-venous cannulation (VV-ECMO) or by differential hypoxia (e.g., lower PaO2 in the upper than in the lower body) in case of veno-arterial cannulation (VA-ECMO) and severe impairment of pulmonary function associated with cardiac recovery. The treatment of such complications remains challenging. We report the early effects of the use of veno-arterial-venous (V-AV) ECMO in this settin
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Andrei, Stefan, Maxime Nguyen, Vivien Berthoud, et al. "Determinants of Arterial Pressure of Oxygen and Carbon Dioxide in Patients Supported by Veno-Arterial ECMO." Journal of Clinical Medicine 11, no. 17 (2022): 5228. http://dx.doi.org/10.3390/jcm11175228.

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Background: The present study aimed to assess the determinants of arterial partial pressure of oxygen (PaO2) and carbon dioxide (PaCO2) in the early phase of veno-arterial extracorporeal membrane oxygenation (VA ECMO) support. Even though the guidelines considered both the risks of hypoxemia and hyperoxemia during ECMO support, there are a lack of data concerning the patients supported by VA ECMO. Methods: This is a retrospective, monocentric, observational cohort study in a university-affiliated cardiac intensive care unit. Hemodynamic parameters, ECMO parameters, ventilator settings, and blo
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Rodriguez, Maria L., and Gyaandeo Maharajh. "Long venous cannula on the arterial position for VA-ECMO." Perfusion 33, no. 6 (2018): 423–25. http://dx.doi.org/10.1177/0267659118765628.

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Differential hypoxia and the arterial mixing zone are two important factors in managing peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO). With the aim of improving perfusion to the aortic arch branches and coronaries, we describe our approach for VA-ECMO cannulation: bicaval drainage through the femoral vein and proximal retrograde ECMO flow using a multi-stage venous cannula inserted in the femoral artery and the tip placed at the proximal descending thoracic aorta. We report the use of this VA-ECMO approach on a 15-year-old female with combined cardiorespiratory failure
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Moroz, G. B., D. A. Sirota, A. V. Guseva, A. V. Fomichev, and E. E. Kliver. "Use of cryopreserved aortic homograft for subclavian arterial cannulation during extracorporeal membrane oxygenation." Russian Journal of Transplantology and Artificial Organs 27, no. 1 (2024): 84–89. https://doi.org/10.15825/1995-1191-2025-1-84-89.

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Extracorporeal membrane oxygenation (ECMO) is a vital tool in the treatment of patients with severe cardiovascular failure during heart surgery. The femoral artery is the most common access for veno-arterial ECMO in adults. Where there are contraindications to traditional cannulation techniques, the subclavian artery is an alternative access site, despite its many peculiarities. This paper presents a clinical case where peripheral ECMO connection with cannulation into the subclavian artery using a cryopreserved homovital abdominal aortic homograft was performed in a patient.
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Chang, Hsiao-Huang, Kai-Hsiang Hou, Ting-Wei Chiang, Yi-Min Wang, and Chia-Wei Sun. "Using Signal Features of Functional Near-Infrared Spectroscopy for Acute Physiological Score Estimation in ECMO Patients." Bioengineering 11, no. 1 (2023): 26. http://dx.doi.org/10.3390/bioengineering11010026.

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Extracorporeal membrane oxygenation (ECMO) is a vital emergency procedure providing respiratory and circulatory support to critically ill patients, especially those with compromised cardiopulmonary function. Its use has grown due to technological advances and clinical demand. Prolonged ECMO usage can lead to complications, necessitating the timely assessment of peripheral microcirculation for an accurate physiological evaluation. This study utilizes non-invasive near-infrared spectroscopy (NIRS) to monitor knee-level microcirculation in ECMO patients. After processing oxygenation data, machine
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Weber, Carolyn, Antje-Christin Deppe, Anton Sabashnikov, et al. "Left ventricular thrombus formation in patients undergoing femoral veno-arterial extracorporeal membrane oxygenation." Perfusion 33, no. 4 (2017): 283–88. http://dx.doi.org/10.1177/0267659117745369.

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Introduction: Profoundly impaired left ventricular (LV) function in patients undergoing femoral veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) can result in intra-cardiac stasis and thrombus formation. There have been several attempts to improve LV unloading in patients with peripheral VA-ECMO, either by improving contractility or by venting the LV. Methods: Data from all patients who underwent femoral VA-ECMO between 2007 and 2015 due to cardiogenic decompensation were retrospectively analysed regarding intra-cardiac thrombus formation. Results: In total, 11 of 281 patients (3.
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Simons, Jorik, Sandra Agricola, Jeroen Smets, et al. "Duplex Analysis of Cannulated Vessels in Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation." Medicina 58, no. 5 (2022): 671. http://dx.doi.org/10.3390/medicina58050671.

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Background and objectives: Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) cannulas have major repercussions on vascular hemodynamics that can potentially lead to limb ischemia. Duplex ultrasound enables the non-invasive analysis of vascular hemodynamics. This study aims to describe the duplex parameters of the femoral vessels during V-A ECMO support, investigate differences between cannulated and non-cannulated vessels, and analyze the variations in the case of limb ischemia and intra-aortic balloon pumps (IABPs). Methods: Nineteen adults (≥18 years), supported with femoro-femora
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Spirina, E. A., R. S. Saitgareev, D. V. Shumakov, et al. "PERIPHERAL VENO-ARTERIAL ECMO AS MECHANICAL CIRCULATORY SUPPORT BEFORE HEART TRANSPLANTATION." Russian Journal of Transplantology and Artificial Organs 15, no. 2 (2014): 23. http://dx.doi.org/10.15825/1995-1191-2013-2-23-35.

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Dissertations / Theses on the topic "Peripheral veno-arterial ECMO"

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Moussa, Mouhamed Djahoum. "Déterminants cliniques, physiopathologiques et pronostics associés aux complications liées à l’hémostase au cours des assistances circulatoires de courte durée à pompe centrifuge." Electronic Thesis or Diss., Université de Lille (2022-....), 2022. http://www.theses.fr/2022ULILS055.

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La problématique de cette thèse est la caractérisation des complications liées à l’hémostase chez le patient assisté par ECMO-VA périphérique afin d’en améliorer la prévention et de rationaliser les approches antithrombotiques en usage. Dans une première étude, nous avons décrit qualitativement et quantitativement la composition des thrombi formés sur les circuits d’ECMO-VA. Nous avons observé que ces thrombi sont majoritairement composés de VWF, de fibrine et dans une moindre proportion de plaquettes et d’érythrocytes. Notre approche quantitative a également permis de mettre en évidence la pr
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Book chapters on the topic "Peripheral veno-arterial ECMO"

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Holzgraefe, Bernhard, and Håkan Kalzén. "Neurologic Complications in Adult ECMO." In Extracorporeal Membrane Oxygenation, edited by Marc O. Maybauer. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197521304.003.0059.

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Treatment with extracorporeal membrane oxygenation (ECMO) has increased tremendously during the last decade due to high survival rates during the H1N1 2009 pandemic and positive technical development. ECMO is used in the veno-venous configuration (V-V ECMO) for pulmonary support in severe respiratory failure with preserved cardiac function or as veno-arterial ECMO (V-A ECMO) to bypass the heart and lungs during cardiac failure with or without pulmonary support. Neurological complications after critical illness occur frequently. Short-term mortality and long-term disabilities are high in patien
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Prasad, Amit, and Kai Singbartl. "ECMO Configurations and Cannulation in Adult Patients." In Extracorporeal Membrane Oxygenation, edited by Marc O. Maybauer. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197521304.003.0004.

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Extracorporeal membrane oxygenation (ECMO), a form of extracorporeal life support (ECLS), represents a life-saving intervention in patients with cardiac and/or respiratory failure not responding to medical therapy. Blood is drained from a central vein (V), pumped through a membrane oxygenator for oxygenation and CO<sub>2</sub> removal, and ultimately returned into a central vein or artery (A). Veno-arterial (V-A) ECMO is primarily used for patients in cardiogenic shock and provides both hemodynamic and respiratory support. V-A ECMO can limit or prevent secondary end-organ damage and allow time
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Khoshbin, Espeed, and Marc O. Maybauer. "ECMO for the Complicated Postcardiotomy Cardiac Arrest." In Extracorporeal Membrane Oxygenation, edited by Marc O. Maybauer. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197521304.003.0048.

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Postcardiotomy (cardiac surgery) refractory cardiogenic shock after cardiac arrest is commonly a fatal condition. In some instances an intra-aortic balloon pump may bridge the failing heart to recovery. However, a stunned myocardium often requires a period of rest only provided through mechanical circulatory support. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) works just like the standard cardiopulmonary bypass by draining blood from the venous system and returns it into the systemic circulation, hence providing immediate cardiorespiratory support. Failure to achieve spontaneo
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