Veno-Arterial Extracorporeal Membrane Oxygenation in the Adult: A Bridge to the State of the Art

Author(s): Marco Gennari*, Camilla L’Acqua, Mara Rubino, Marco Agrifoglio, Luca Salvi, Roberto Ceriani, Giancarlo Marenzi, Ivana Marana, Gianluca Polvani

Journal Name: Current Cardiology Reviews

Volume 17 , Issue 4 , 2021


Article ID: e290421188337
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Abstract:

Despite the technological advancements in the last 40 years, conditions such as refractory cardiogenic shock and cardiac arrest still present a very high mortality rate in real-world clinical practice.

In this light, we have reviewed the techniques, indications, contraindications, and results of the socalled Veno-Arterial Extracorporeal Circulatory Membrane Oxygenation (VA-ECMO) in the adult population to evaluate the current results of this temporary cardio-pulmonary support as salvage and/or bridge therapy in the patient suffering from refractory cardiogenic shock or cardio-circulatory arrest.

The results are encouraging, especially in the setting of refractory cardiogenic shock and in-hospital cardiac arrest. Among a selected population, the prompt institution of a VA-ECMO may radically change the prognosis by sustaining vital functions while looking for the leading cause or waiting for the reversal of the temporary cardio-respiratory negative condition.

The future directions aim to standardized and shared protocols, miniaturization of the machines, and possibly the institution of specialized “ECMO teams” for in and the out-of-hospital institution of the tool.

Keywords: ECMO, ECLS, cardiogenic shock, cardiac arrest, myocarditis, cardio-pulmonary support.

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Article Details

VOLUME: 17
ISSUE: 4
Year: 2021
Published on: 24 November, 2020
Article ID: e290421188337
Pages: 7
DOI: 10.2174/1573403X16999201124202144
Price: $65

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