Non-intubated recovery from refractory cardiogenic shock on percutaneous VA-extracorporeal membrane oxygenation

J. van Houte, D.W. Donker*, L.J. Wagenaar, A.P. Slootweg, J.H. Kirkels, D. van Dijk

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Scopus)

Abstract

We report on the use of percutaneous femoral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in a fully awake, non-intubated and spontaneously breathing patient suffering from acute, severe and refractory cardiogenic shock due to a (sub)acute anterior myocardial infarction. Intensified heart failure therapy was closely monitored with a pulmonary artery catheter and allowed gradual weaning off the ECMO support without additional invasive measures, notably without mechanical ventilation. Neurological assessment was possible at all times and complete physical mobilisation was straightforward directly after weaning from ECMO. This limited invasive approach may encourage a more widespread use of percutaneous VA-ECMO.
Original languageEnglish
Pages (from-to)386-388
Number of pages3
JournalNetherlands heart journal
Volume23
Issue number7-8
DOIs
Publication statusPublished - Jul 2015
Externally publishedYes

Keywords

  • Veno-arterial extracorporeal membrane oxygenation
  • Refractory cardiogenic shock
  • Awake
  • Non-intubated

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