Shi Boyi,Peng Wei.Research progress on left heart decompression strategies in venoarterial extracorporeal membrane oxygenation[J].Journal of Clinical Pediatric Surgery,2025,(03):282-287.[doi:10.3760/cma.j.cn101785-202407043-015]
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Research progress on left heart decompression strategies in venoarterial extracorporeal membrane oxygenation

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: Number: 2025年03 Page: 282-287 Column: 综述 Date of publication: 2025-03-28
Author(s):
Shi Boyi;  Peng Wei
Department of Cardiothoracic Surgery, Children’s Hospital of Nanjing Medical University, Nanjing 210019, China
Keywords:
Veno-arterial Extracorporeal Membrane Oxygenation; Left Ventricle Unloading; Left Ventricular Dilation; Surgical Procedures;  Operative; Child
DOI:
10.3760/cma.j.cn101785-202407043-015
Abstract:
Venoarterial extracorporeal membrane oxygenation (V-A ECMO) is primarily used to provide circulatory and respiratory support in patients with severe cardiogenic shock or refractory cardiac arrest.Although it allows the heart to rest for a certain period,the increased left ventricular afterload in some patients can lead to left ventricular dilation,exacerbating myocardial damage and pulmonary edema,which contradicts the fundamental principles of ECMO.Therefore,an appropriate and effective left heart decompression strategy is essential for patients receiving V-A ECMO.This review summarizes the latest research progress on mechanical left heart decompression strategies in V-A ECMO.

References:

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Memo

收稿日期:2024-7-18。
基金项目:江苏省妇幼保健协会科研项目(FYX202201)
通讯作者:彭卫,Email:pwking@sina.com

Last Update: 2025-03-28