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Single arterial access technique for simultaneous dual mechanical circulatory support in cardiogenic shock.


ABSTRACT: Temporary mechanical circulatory support is a treatment of choice for patients in severe cardiogenic shock. Combining veno-arterial extracorporeal life support (ECLS) with devices that enable left ventricular unloading emerges as a promising strategy to diminish detrimental effect of elevated left ventricular afterload and to improve survival. However, the need to establish multiple arterial access sites remains a major drawback of this approach due to a significant rate of vascular complications. We describe herein a case of a single arterial access for ECLS and intra-aortic balloon pump using axillary artery that may provide a simple, modular and flexible approach for escalation or de-escalation of mechanical circulatory support.

SUBMITTER: Fardman A 

PROVIDER: S-EPMC10837988 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature

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Single arterial access technique for simultaneous dual mechanical circulatory support in cardiogenic shock.

Fardman Alexander A   Dranishnikov Nikolay N   Nersesian Gaik G   Falk Volkmar V   Potapov Evgenij E  

Journal of cardiothoracic surgery 20240203 1


Temporary mechanical circulatory support is a treatment of choice for patients in severe cardiogenic shock. Combining veno-arterial extracorporeal life support (ECLS) with devices that enable left ventricular unloading emerges as a promising strategy to diminish detrimental effect of elevated left ventricular afterload and to improve survival. However, the need to establish multiple arterial access sites remains a major drawback of this approach due to a significant rate of vascular complication  ...[more]

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