Extracorporeal Membrane Oxygenation and Short-Term Mechanical Circulatory Support
Key Points
- Venoarterial extracorporeal membrane oxygenation (ECMO) supports both the heart and lungs by providing gas exchange and systemic perfusion, and it is indicated in cases of refractory cardiogenic shock.
- Extracorporeal cardiopulmonary resuscitation (eCPR) involves the application of VA ECMO during cardiac arrest or, more specifically, prior to the return of spontaneous circulation.
- Venovenous ECMO is used primarily for respiratory failure/support, and it should only be utilized if there is sufficient cardiac function.
- ECMO plays an important role in managing the most advanced cases of COVID-19 that are refractory to conventional interventions.
- Hybrid and parallel ECMO configurations are considered for selected circumstances in which a single ECMO circuit is inadequate.
- Short-term mechanical circulatory support devices (MCSD) are temporary percutaneously-inserted devices that can be deployed for refractory cardiogenic shock.
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Last updated: May 17, 2023
Citation
Casillan, Alfred, et al. "Extracorporeal Membrane Oxygenation and Short-Term Mechanical Circulatory Support." Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2023. STS Surgery, ebook.sts.org.
Casillan A, Ellison TA, Kilic A, Choi CW, Bush EL. Extracorporeal Membrane Oxygenation and Short-Term Mechanical Circulatory Support. In: Baumgartner WA, Jacobs JP, Darling GE, eds. Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. ebook.sts.org. Accessed September 23, 2023.
Casillan, A., Ellison, T. A., Kilic, A., Choi, C. W., & Bush, E. L. (2023). Extracorporeal Membrane Oxygenation and Short-Term Mechanical Circulatory Support. In Baumgartner, W., Jacobs, J., & Darling, G. (Eds.), Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Casillan A, Ellison TA, Kilic A, Choi CW, Bush EL. Extracorporeal Membrane Oxygenation and Short-Term Mechanical Circulatory Support [Internet]. In: Baumgartner WA, Jacobs JP, Darling GE, editors. Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. [cited 2023 September 23]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Extracorporeal Membrane Oxygenation and Short-Term Mechanical Circulatory Support
ID - 1864050
A1 - Casillan,Alfred,MD, PhD
ED - Baumgartner,William,
ED - Jacobs,J,
ED - Darling,Gail,
Y1 - 2023/05/17/
BT - Adult Cardiac
UR - https://ebook.sts.org/sts/view/Cardiac-and-Congenital/1864050/all/Extracorporeal_Membrane_Oxygenation_and_Short_Term_Mechanical_Circulatory_Support
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -