Venoarterial extracorporeal life support (VA-ECLS) is used in ICUs (intensive care units) for the most extreme presentations of acute and severe cardiogenic shock, and one of the main issues the clinicians have to deal with is the weaning from VA-ECLS. In this study, a patient-specific model of the cardiovascular system connected to a VA-ECLS is built to improve the understanding of this complex system. Pig experiments are performed to validate the model, and the results are quite promising since the mean difference between experimental data and simulation is smaller than 5% for all the hemodynamic quantities. It is also a major objective of this paper to provide a proof-of-concept analysis that model-based approaches could improve the weaning strategy for VA-ECLS therapy.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165357 | PMC |
http://dx.doi.org/10.1155/2020/4503919 | DOI Listing |
J Heart Lung Transplant
January 2025
Division of Cardiac Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, New York. Electronic address:
J Burn Care Res
August 2024
Department of Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
Ann Thorac Surg
July 2024
Division of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Virginia. Electronic address:
Background: Differences in outcomes by indication for venoarterial extracorporeal life support (VA-ECLS) are poorly described. We hypothesized that patients on VA-ECLS for acute pulmonary embolism (PE) have fewer complications and better survival than patients on VA-ECLS for other indications.
Methods: All patients ≥18 years on VA-ECLS from the Extracorporeal Life Support Organization global registry (2010-2019) were evaluated (n = 29,842).
J Thorac Dis
September 2023
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany.
Perfusion
November 2024
Department of Surgery, Columbia University Irving Medical Center, New York, NY, USA.
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