Clinical complications during veno-arterial extracorporeal membrane oxigenation in post-cardiotomy and non post-cardiotomy shock: still the achille's heel

Valeria Lo Coco, Roberto Lorusso, Giuseppe M Raffa, Pietro Giorgio Malvindi, Michele Pilato, Gennaro Martucci, Antonio Arcadipane, Kamil Zieliński, Piotr Suwalski, Mariusz Kowalewski

Research output: Contribution to journalReview article

Abstract

Extracorporeal membrane oxygenation (ECMO) is life-saving for potentially reversible heart failure and respiratory injuries not responsive to conventional therapies. Technological innovations have produced over the years significant improvements in ECMO devices (pump, cannula design and oxygenator) and have allowed a better risk/benefit profile. Alongside with recognized advantages in the treatment of very sick patients, ECMO remains an invasive procedure for mechanical circulatory support (MCS) and it is associated with complications that strongly influence the prognosis. Current review was designed to provide a comprehensive outline on ECMO complications, analyzing risk factors and strategies of management, focusing on adult population undergoing veno-arterial ECMO (VA-ECMO) therapy.

Original languageEnglish
Pages (from-to)6993-7004
Number of pages12
JournalJournal of Thoracic Disease
Volume10
Issue number12
DOIs
Publication statusPublished - Dec 2018

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