Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock

The rising incidence and recognition of cardiogenic shock has led to an increase in the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). As clinical experience with this therapy has increased, there has also been a rapid growth in the body of observational and randomized data desc...

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Main Authors: Andrea Elliott, Garima Dahyia, Rajat Kalra, Tamas Alexy, Jason Bartos, Marinos Kosmopoulos, Demetri Yannopoulos
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-11-01
Series:US Cardiology Review
Online Access:https://www.uscjournal.com/articleindex/usc.2021.13
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author Andrea Elliott
Garima Dahyia
Rajat Kalra
Tamas Alexy
Jason Bartos
Marinos Kosmopoulos
Demetri Yannopoulos
author_facet Andrea Elliott
Garima Dahyia
Rajat Kalra
Tamas Alexy
Jason Bartos
Marinos Kosmopoulos
Demetri Yannopoulos
author_sort Andrea Elliott
collection DOAJ
description The rising incidence and recognition of cardiogenic shock has led to an increase in the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). As clinical experience with this therapy has increased, there has also been a rapid growth in the body of observational and randomized data describing the clinical and logistical considerations required to institute a VA-ECMO program with successful clinical outcomes. The aim of this review is to summarize this contemporary data in the context of four key themes that pertain to VA-ECMO programs: the principles of patient selection; basic hemodynamic and technical principles underlying VA-ECMO; contraindications to VA-ECMO therapy; and common complications and intensive care considerations that are encountered in the setting of VA-ECMO therapy.
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series US Cardiology Review
spelling doaj-art-24e8a4cf9bf84dcd85ce8bd731200f0f2025-08-20T02:39:16ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2021-11-011510.15420/usc.2021.13Extracorporeal Life Support for Cardiac Arrest and Cardiogenic ShockAndrea Elliott0Garima Dahyia1Rajat Kalra2Tamas Alexy3Jason Bartos4Marinos Kosmopoulos5Demetri Yannopoulos6Department of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MNDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MNDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MNDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MNDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MNDepartment of Medicine, Division of Cardiology, Center for Resuscitation Medicine, University of Minnesota, Minneapolis, MNDepartment of Medicine, Division of Cardiology, University of Minnesota, Minneapolis, MNThe rising incidence and recognition of cardiogenic shock has led to an increase in the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). As clinical experience with this therapy has increased, there has also been a rapid growth in the body of observational and randomized data describing the clinical and logistical considerations required to institute a VA-ECMO program with successful clinical outcomes. The aim of this review is to summarize this contemporary data in the context of four key themes that pertain to VA-ECMO programs: the principles of patient selection; basic hemodynamic and technical principles underlying VA-ECMO; contraindications to VA-ECMO therapy; and common complications and intensive care considerations that are encountered in the setting of VA-ECMO therapy.https://www.uscjournal.com/articleindex/usc.2021.13
spellingShingle Andrea Elliott
Garima Dahyia
Rajat Kalra
Tamas Alexy
Jason Bartos
Marinos Kosmopoulos
Demetri Yannopoulos
Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock
US Cardiology Review
title Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock
title_full Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock
title_fullStr Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock
title_full_unstemmed Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock
title_short Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock
title_sort extracorporeal life support for cardiac arrest and cardiogenic shock
url https://www.uscjournal.com/articleindex/usc.2021.13
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