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- R Moravec, T Neitzel, M Stiller, B Hofmann, D Metz, M Bucher, R Silber, H Bushnaq, and C Raspé.
- Department of Anesthesiology and Critical care medicine, Halle-Wittenberg University, Germany.
- Perfusion. 2014 May 1;29(3):200-9.
AbstractThe use of extracorporeal membrane oxygenation (ECMO) is becoming a popular tool in the treatment of cardiogenic shock. We present two case reports where classical veno-arterial peripherally cannulated ECMO therapy proved insufficient with profuse cerebral hypoxemia. After augmenting the setting into veno-veno-arterial ECMO, we achieved a remarkable improvement of all oxygenation parameters. The simultaneous use of veno-venous and veno-arterial ECMO might display as a novel strategy to counteract the coronary and cerebral hypoxemia in veno-arterial ECMO therapy in patients with therapy-refractory cardiogenic shock or in combined cardiopulmonary failure. In this manuscript, the veno-veno-arterial ECMO setup is described in full detail and different venous cannulas are discussed.
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