Document Detail


Left ventricle unloading by percutaneous pigtail during extracorporeal membrane oxygenation.
MedLine Citation:
PMID:  21680549     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Arterial-venous extracorporeal membrane oxygenation (ECMO) is more and more used as first line mechanical support in acute cardiopulmonary failure. Important pitfall of this technique is the inappropriate unloading of left ventricle (LV) in case of myocardial insufficiency, leading to pulmonary stasis and inadequate myocardial recovery. We report our experience of left side unloading by a 7-F pigtail, introduced in the LV through the aortic valve, connected to the venous drainage. Echographic guidance is sufficient to pigtail positioning and follow-up monitoring avoiding catheterization laboratory transport. With this approach we were able to support three different patients, resolving LV distension and preventing lung congestion, without major complication. Keywords: Extracorporeal membrane oxygenation; Left ventricle unloading; Mechanical circulatory assistance; Myocardial recovery.
Authors:
Alessandro Barbone; Pietro Giorgio Malvindi; Pietro Ferrara; Giuseppe Tarelli
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-16
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  -     ISSN:  1569-9285     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Cardiac Surgery, Istituto Clinico Humanitas IRCCS, 20089 Rozzano, Italy.
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