지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 263 - 268 (6page)
이용수
초록· 키워드
오류제보하기
Background: Left ventricular (LV) distension is a recognizable problem accompanied by sub-sequent complications during venoarterial extracorporeal membrane oxygenation (VA-EC-MO). However, no gold standard for LV decompression has been established, and no minimal flow requirement has been designated. Thus, we evaluated the efficacy of the 8-Fr Mullins sheath for left heart decompression during VA-ECMO in adult patients. Methods: Left heart decompression was performed when severe pulmonary edema was detected on chest radiography or when no generation of pulse pressure followed severe LV dysfunction in patients receiving VA-ECMO. We punctured the interatrial septum and inserted an 8-Fr Mullins sheath into the left atrium via the femoral vein. The sheath was connected to the venous catheter used for ECMO. The catheter was maintained during VA-ECMO. Results: The left heart decompression procedure was performed in seven of 35 patients who received VA-ECMO between February 2017 and June 2018. Three patients had acute myocardial infarction; three, fulminant myocarditis; and one, dilated cardiomyopathy. Four patients showed noticeable improvement of pulmonary edema within 3 days, and three patients with a pulse pressure of <10 mm Hg showed an increase in pulse pressure of >20 mm Hg within 24 hours from the left heart decompression procedure. All seven patients were successfully weaned from VA-ECMO. No complications related to the left heart decompression procedure occurred. Conclusions: An 8-Fr sheath may be a possible option for left heart decompression in adult patients with LV distension under VA-ECMO who are expecting recovery of LV function.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Cheng R / 2014 / Complications of extracorporeal membrane oxygenation for treatment of cardiogenic shock and cardiac arrest : a meta-analysis of 1, 866 adult patients / Ann Thorac Surg 97:610~616
Soleimani B / 2012 / Management of left ventricular distension during peripheral extracorporeal membrane oxygenation for cardiogenic shock / Perfusion 27:326~331
Ostadal P / 2015 / Increasing venoarterial extracorporeal membrane oxygenation flow negatively affects left ventricular performance in a porcine model of cardiogenic shock / J Transl Med 13:266
Makdisi G / 2015 / Left ventricular thrombus associated with arteriovenous extra corporeal membrane oxygenation / J Thorac Dis 7:E552~E554
Alhussein M / 2017 / Percutaneous left atrial decompression in adults with refractory cardiogenic shock supported with veno-arterial extracorporeal membrane oxygenation / J Card Surg 32:396~401
Soleimani B / 2012 / Management of left ventricular distension during peripheral extracorporeal membrane oxygenation for cardiogenic shock / Perfusion 27:326~331
Ostadal P / 2015 / Increasing venoarterial extracorporeal membrane oxygenation flow negatively affects left ventricular performance in a porcine model of cardiogenic shock / J Transl Med 13:266
Makdisi G / 2015 / Left ventricular thrombus associated with arteriovenous extra corporeal membrane oxygenation / J Thorac Dis 7:E552~E554
Alhussein M / 2017 / Percutaneous left atrial decompression in adults with refractory cardiogenic shock supported with veno-arterial extracorporeal membrane oxygenation / J Card Surg 32:396~401
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