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Initial experience with CentriMag extracorporal membrane oxygenation for support of critically ill patients with refractory cardiogenic shock

Aziz, Tariq A ; Singh, Gurpal ; Popjes, Eric ; Stephenson, Edward ; Mulvey, Suzanne ; Pae, Walter ; El-Banayosy, Aly

Journal of Heart and Lung Transplantation, 2010, Vol.29(1), pp.66-71 [Periódico revisado por pares]

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  • Título:
    Initial experience with CentriMag extracorporal membrane oxygenation for support of critically ill patients with refractory cardiogenic shock
  • Autor: Aziz, Tariq A ; Singh, Gurpal ; Popjes, Eric ; Stephenson, Edward ; Mulvey, Suzanne ; Pae, Walter ; El-Banayosy, Aly
  • Assuntos: Mechanical Circulatory Support ; Extracorporeal Membrane Oxygenation ; Centrimag ECMO ; Cardiogenic Shock ; Bridge to Myocardial Recovery ; Novel Therapy
  • É parte de: Journal of Heart and Lung Transplantation, 2010, Vol.29(1), pp.66-71
  • Descrição: Cardiogenic shock refractory to conventional therapy has very high mortality and limited support options. New technology with peripherally inserted CentriMag (Levitronix LLC, Waltham, MA) extracorporal membrane oxygenation (ECMO) may have the potential to significantly improve survival in these critically ill patients. Outcomes of the first 10 patients to receive this device at our institutions are presented. Patients were identified by their primary physicians and evaluated by our Mechanical Circulatory Support Team. CentriMag ECMO was initiated at the bedside using sterile percutaneous cannulation of femoral vessels. Patients were admitted to the Heart and Vascular Intensive Care Unit, with care managed by regular nursing staff with special training. The patients (5 men, 5 women) were a mean age of 45 ± 18 years, had a mean left ventricular ejection fraction of 30%, and a mean lactate level of 9 mmol/liter. All patients met criteria for...
  • Idioma: Inglês

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