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

doi:10.1007/s12471-018-1073-9

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 journal › Article › Academic › peer-review

28 Citations (Scopus)

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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 language	English
Pages (from-to)	58-66
Number of pages	9
Journal	Netherlands heart journal
Volume	26
Issue number	2
DOIs	https://doi.org/10.1007/s12471-018-1073-9
Publication status	Published - 1 Feb 2018
Externally published	Yes

Keywords

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

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Meuwese2018extracorporealFinal published version, 733 KBLicence: CC BY

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title = "Extracorporeal life support in cardiogenic shock: Indications and management in current practice",

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.",

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T2 - Indications and management in current practice

AU - Meuwese, C.L.

AU - Ramjankhan, F.Z.

AU - Braithwaite, S.A.

AU - de Jonge, N.

AU - de Jong, M.

AU - Buijsrogge, M.P.

AU - Janssen, J.G.D.

AU - Klöpping, C.

AU - Kirkels, J.H.

AU - Donker, D.W.

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N2 - 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.

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KW - Cardiogenic shock

KW - Extracorporeal life support (ECLS)

KW - Extracorporeal membrane oxygenation (ECMO)

KW - Short-term cardiac mechanical support

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DO - 10.1007/s12471-018-1073-9

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JO - Netherlands heart journal

JF - Netherlands heart journal

SN - 1568-5888

IS - 2

ER -

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

Abstract

Keywords

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