医学
体外膜肺氧合
体外心肺复苏
心肺复苏术
体外
循环系统
膜式氧合器
心源性休克
心脏病学
复苏
内科学
外科
心肌梗塞
作者
James F. Howick V,Joshua A. Rezkalla,Thomas Tilbury,Sunil V. Mankad,Courtney E. Bennett,Joerg Herrmann,Gregory Barsness,Stephen M. Ansell,Matthew D. Read
标识
DOI:10.1016/j.jacc.2023.04.038
摘要
Venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides temporary mechanical circulatory support and simultaneous extracorporeal gas exchange for acute cardiorespiratory failure. By providing circulatory support, VA-ECMO gives treatments time to reach optimal efficacy or may be used as a bridge to a more durable mechanical solution for patients with acute cardiopulmonary failure. It is commonly used when a readily reversible etiology of decompensation is identified with very strict inclusion criteria for extracorporeal cardiopulmonary resuscitation use. We present a unique case in which VA-ECMO/extracorporeal cardiopulmonary resuscitation was used after cardiac arrest with pulseless electrical activity in a patient with recurrent lymphoma of the left thigh with recent autologous stem cell transplant.
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