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ECMO in cardiac arrest and cardiogenic shock.

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Herz. 2017 Feb;42(1):27-44. doi: 10.1007/s00059-016-4523-4.

ECMO in cardiac arrest and cardiogenic shock.

Author information

1
Cardiac Arrest Center, Acute and Advanced Heart Failure Unit, Department of Cardiology and Angiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. napp.christian@mh-hannover.de.
2
Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
3
Cardiac Arrest Center, Acute and Advanced Heart Failure Unit, Department of Cardiology and Angiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Abstract

Cardiogenic shock is an acute emergency, which is classically managed by medical support with inotropes or vasopressors and frequently requires invasive ventilation. However, both catecholamines and ventilation are associated with a worse prognosis, and many patients deteriorate despite all efforts. Mechanical circulatory support is increasingly considered to allow for recovery or to bridge until making a decision or definite treatment. Of all devices, extracorporeal membrane oxygenation (ECMO) is the most widely used. Here we review features and strategical considerations for the use of ECMO in cardiogenic shock and cardiac arrest.

KEYWORDS:

Cardiac arrest; Cardiogenic shock; Cardiopulmonary resuscitation; ECMO; Extracorporeal resuscitation; Mechanical circulatory support; Microaxial pump; Sudden cardiac death

PMID:
28127638
PMCID:
PMC5306351
DOI:
10.1007/s00059-016-4523-4
[Indexed for MEDLINE]
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Conflict of interest statement

Compliance with ethical guidelinesConflict of interestL. C. Napp received travel support outside this work from Abbott, Abiomed, Bayer, Biotronik, Boston Scientific, Cordis, Lilly, Medtronic, Pfizer, Servier and Volcano, and lecture honoraria from Maquet. C. Kühn received lecture honoraria from Maquet and J. Bauersachs received lecture honoraria from Abiomed.This article does not contain any studies with human participants or animals performed by any of the authors.

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