Venoarterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock

JACC Heart Fail. 2018 Jun;6(6):503-516. doi: 10.1016/j.jchf.2017.11.017. Epub 2018 Apr 11.

Abstract

Venoarterial extracorporeal membrane oxygenation has emerged as a viable treatment for patients in cardiogenic shock with biventricular failure and pulmonary dysfunction. Advances in pump and oxygenator technology, cannulation strategies, patient selection and management, and durable mechanical circulatory support have contributed to expanded utilization of this technology. However, challenges remain that require investigation to improve outcomes.

Keywords: cardiogenic shock; extracorporeal membrane oxygenation; mechanical circulatory support.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acidosis, Respiratory / prevention & control
  • Adolescent
  • Adult
  • Anticoagulants / therapeutic use
  • Assisted Circulation / instrumentation
  • Equipment Design
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Heart-Assist Devices
  • Humans
  • Hypoxia / prevention & control
  • Male
  • Medical Illustration
  • Middle Aged
  • Patient Selection
  • Shock, Cardiogenic / therapy*
  • Thromboembolism / prevention & control
  • Treatment Outcome
  • Young Adult

Substances

  • Anticoagulants