Extracorporeal life support in cardiogenic shock: Indications and management in current practice

C.L. Meuwese*, F.Z. Ramjankhan, S.A. Braithwaite, N. de Jonge, M. de Jong, M.P. Buijsrogge, J.G.D. Janssen, C. Klöpping, J.H. Kirkels, D.W. Donker

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

14 Citations (Scopus)

Abstract

Veno-arterial extracorporeal life support (VA-ECLS) provides circulatory and respiratory stabilisation in patients with severe refractory cardiogenic shock. Although randomised controlled trials are lacking, the use of VA-ECLS is increasing and observational studies repeatedly have shown treatment benefits in well-selected patients. Current clinical challenges in VA-ECLS relate to optimal management of the individual patient on extracorporeal support given its inherent complexity. In this review article we will discuss indications, daily clinical management and complications of VA-ECLS in cardiogenic shock refractory to conventional treatment strategies.
Original languageEnglish
Pages (from-to)58-66
Number of pages9
JournalNetherlands heart journal
Volume26
Issue number2
DOIs
Publication statusPublished - 1 Feb 2018
Externally publishedYes

Keywords

  • Cardiogenic shock
  • Extracorporeal life support (ECLS)
  • Extracorporeal membrane oxygenation (ECMO)
  • Short-term cardiac mechanical support

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