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The role of extracorporeal membrane oxygenation circulatory support in the ‘crash and burn’ patient: from implantation to weaning

Ghodsizad, Alia; Koerner, Michael M.b; Brehm, Christoph E.b; El-Banayosy, Alya,b

Current Opinion in Cardiology: May 2014 - Volume 29 - Issue 3 - p 275–280
doi: 10.1097/HCO.0000000000000061
CARDIAC FAILURE: Edited by Stavros G. Drakos and Nir Uriel

Purpose of review In advanced cardiogenic shock, early mechanical circulatory support may prevent multiorgan failure and death. In this article, we are describing our experience with extracorporeal membrane oxygenation (ECMO) application.

Recent findings Venoarterial ECMO has been used successfully as a therapeutic option for patients with advanced cardiogenic shock and cardiac arrest.

Summary In this review, based on the daily routine of the Hershey group using ECMO for therapy of advanced cardiogenic shock, the application of ECMO is described. The aim is to share our hands-on experience during emergent implantation and to contribute to the knowledge within the field of mechanical circulatory support.

aDepartment of Surgery

bDepartment of Medicine, Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania, USA

Correspondence to Aly El-Banayosy, MD, Professor of Surgery and Medicine, Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, 500 University Drive, MC H047, Hershey, PA 17033, USA. E-mail: aelbanayosy@hmc.psu.edu

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