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KARDIOTECHNIK Ausgabe: 2022/4; 031(1):004-008
DOI: https://doi.org/10.47624/kt.031.OMFY7598

Parallel vv and va ECMO with Three Vessel Access as Bridge to Lung Transplantation in a Patient with Septic Shock: The Perfusionist Perspective

J. Mertha ECCP, M. Halbe ECCP, C. A. Mestres MD PhD FETCS

Perfusion Section and Department of Cardiac Surgery, University Hospital of Zürich, Zürich (Switzerland)

Schlüsselwörter

ECMO, septischer Schock, zwei Systeme, Hybridmodi, Kanülierungsstrategie

Zusammenfassung

Keywords

ECMO, septic shock, parallel circuit, hybrid forms, cannulation strategies

Abstract

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Literatur

REFERENCES
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2. Combes A. Role of VA ECMO in septic shock: Does it work? QMJ 2017; 1:24. doi.org/10.5339/qmj.2017.swacelso.24
3. Riera J, Argudo E, Ruiz-Rodríguez JC et al. Extracorporeal membrane oxygenation for adults with refractory septic shock. ASAIO J 2019; 65: 760–768.
4. Pagani FD. Commentary: More is better: Hybrid and parallel extracorporeal membrane oxygenation circuits. JTCVS Techniques 2021; 8: 86–87.
5. Bloch A, Berger D, Takala J. Understanding circulatory failure in sepsis. Intensive Care Med 2016; 42: 2077–79.
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10. Rosenbaum AN, Bohmann JK, Rehfeldt KH et al. Dual RVAD-ECMO Circuits to treat cardiogenic shock and hypoxemia due to necrotizing lung infection: a case report. A A Pract 2020; 14: e01181.
11. Biscotti M, Gannon WD, Agerstrand C et al. Awake Extracorporeal Membrane Oxygenation as Bridge to Lung Transplantation: A 9-Year Experience. Ann Thorac Surg 2017; 104: 412–419.
12. Tipograf Y, Salna M, Minko E et al. Outcomes of Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation. Ann Thorac Surg 2019; 107: 1456–1463.
13. ELSO Guidelines for Cardiopulmonary Extracorporeal Life Support, Extracorporeal Life Support Organization, Version 1.4 August 2017, Ann Arbor MI, USA, www.elso.org.
14. Bréchot N, Hajage D, Kimmoun A et al. Venoarterial extracorporeal menbrane oxygenation to rescue sepsis-induced cardiogenic shock: a retrospective, multicentre, international cohort study. Lancet 2020; 396: 545–552.
15. Vogel DJ, Murray J, Czapran AZ et al. Veno-arterio-venous ECMO for Septic cardiomyopathy: a single-centre experience. Perfusion 2018; 33: 57–64.
16. Shah A, Dave S, Goerlich CE, Kaczorowski DJ. Hybrid and parallel extracorporeal membrane oxygenation circuits. JTCVS Techniques 2021; 8: 77–85.
17. Millar J.E., Fanning J.P., McDonald C.I. et al. The inflammatory response to extracorporeal membrane oxygenation (ECMO): a review of the pathophysiology. Crit Care 2016; 20: 387-397.
18. Dornia C, Philipp A, Bauer S et al. D-dimers Are a Predictor of Clot Volume Inside Membrane Oxygenators during extracorporeal Membrane Oxygenation. Artificial Organs 2015; 39: 782–787.
19. Weitz JI, Fredenburgh JC, Eikelboom JW. A Test in Context: D-Dimer. JACC 2017; 70: 2411–20.
20. Kredel M, Kunzmann S, Schlegel PG et al. Double Peripheral Venous and Arterial Cannulation for Extracorporeal Membrane Oxygenation in Combined Septic and Cardiogenic Shock. Am J Case Rep 2017; 18: 723–727.
21. Contento C, Battisti A, Agrò B et al. A novel veno-arteriovenous extracorporeal membrane oxygenation with double pump for the treatment of harlequin syndrome. Perfusion 2020; 35: 65–72.

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