Extracorporeal membrane oxygenation for very high-risk transcatheter aortic valve implantation.

@article{Seco2014ExtracorporealMO,
  title={Extracorporeal membrane oxygenation for very high-risk transcatheter aortic valve implantation.},
  author={Michael Seco and P. Brinsko David W. Forrest and Simon Anthony Jackson and Gonzalo J. Mart{\'i}nez and Sarah Andvik and Paul Bannon and Martin K. C. Ng and John F. Fraser and M. K. Wilson and Michael Patrick Vallely},
  journal={Heart, lung & circulation},
  year={2014},
  volume={23 10},
  pages={957-62}
}
BACKGROUND Transcatheter aortic valve implantation (TAVI) can cause profound haemodynamic perturbation in the peri-operative period. Veno-arterial extracorporeal membrane oxygenation (ECMO) can be used to provide cardiorespiratory support during this time, either prophylactically or emergently. METHOD 100 TAVI procedures were performed between 2009 and 2013 in our institution. ECMO was used in 11 patients, including eight prophylactic and three rescue cases. Rescue ECMO was required for… CONTINUE READING

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ECMO patients were more likely to develop acute renal failure than non - ECMO patients ( 36 vs. 8% , p<.05 ) , which was most likely due to haemodynamic collapse and end - organ dysfunction in patients that required ECMO rescue .
ECMO patients were more likely to develop acute renal failure than non - ECMO patients ( 36 vs. 8% , p<.05 ) , which was most likely due to haemodynamic collapse and end - organ dysfunction in patients that required ECMO rescue .
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