Mechanical Circulatory Support for Heart Failure: Past, Present and a Look at the Future
This review provides a perspective on the past, present and future of mechanical circulatory support and addresses the changes in technology, patient selection and management strategies needed to have this therapy fully embraced by the heart failure community, and perhaps replace heart transplantation either as the therapy of choice or as a strategy by which to delay transplantation in younger patients.
Clinical Outcome of Mechanical Circulatory Support for Refractory Cardiogenic Shock in the Current Era
Mortality for refractory cardiogenic shock (RCS) remains high. However, with improving mechanical circulatory support device (MCSD) technology, the treatment options for RCS patients are expanding. We report on a recent 5-year single-center experience with MCSD for treatment of RCS.
From Extracorporeal Membrane Oxygenation to Ventricular Assist Device Oxygenation without Sternotomy
We report a method of minimally invasive LV drainage while the patient is receiving peripheral ECMO support and subsequent staged switch to paracorporeal LVAD without the need for a median sternotomy.
Emergency Cardiac Surgery in Patients with Acute Coronary Syndromes: A Review of the Evidence and Perioperative Implications of Medical and Mechanical Therapeutics
Patients with acute coronary syndromes who require emergency cardiac surgery present complex management challenges.
Cardiac Power Index: Staging Heart Failure for Mechanical Circulatory Support
We compared cardiac power index to other commonly used hemodynamic parameters to validate its usefulness to stage heart failure patients and determine the optimal time for implantation of mechanical circulatory support.
Veno-Right Ventricular Cannulation Reduces Recirculation in Extracorporeal Membrane Oxygenation
We compared recirculation in veno-right ventricular support with that in conventional veno-venous support and its relationship with pump flow.
The Science behind Percutaneous Hemodynamic Support: A Review and Comparison of Support Strategies
With these goals in mind, the scientific principles that govern hemodynamic effectiveness and myocardial protection as they pertain to acute support devices are reviewed.
Extracorporeal Membrane Oxygenation in Maternal Arrhythmic Cardiogenic Shock
We report the first case of the use of ECMO for the treatment of cardiac arrhythmia with cardiogenic shock in a pregnant woman.
Outcome of Patients with Profound Cardiogenic Shock after Cardiopulmonary Resuscitation and Prompt Extracorporeal Membrane Oxygenation Support. A Single-Center Observational Study
Profound CS was associated with high mortality. Both successful weaning from ECMO and an APACHE II score might serve as outcome predictors for risk stratification.
20-year Experience of Prolonged Extracorporeal Membrane Oxygenation in Critically Ill Children with Cardiac or Pulmonary Failure
This study aimed to study morbidity and mortality associated with prolonged ECMO therapy (≥28 days) in children with refractory cardiac or pulmonary failure.
First Experience with the New Portable Extracorporeal Membrane Oxygenation System Cardiohelp for Severe Respiratory Failure in Adults
In this report, we present our early experience with the Cardiohelp, a new portable miniaturized ECMO system, in 22 consecutive patients with ARDS.
Left Tilt Position for Easy Extracorporeal Membrane Oxygenation Cannula Insertion in Late Pregnancy Patients
The aim was to describe how to avoid technical difficulties during venous femoral cannula insertion for extracorporeal membrane oxygenation (ECMO) in a woman in late pregnancy.