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Single arterial access technique for simultaneous dual mechanical circulatory support in cardiogenic shock. | LitMetric

Single arterial access technique for simultaneous dual mechanical circulatory support in cardiogenic shock.

J Cardiothorac Surg

Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Augustenburger Platz 1, 13353, Berlin, Germany.

Published: February 2024

AI Article Synopsis

Article Abstract

Temporary mechanical circulatory support is a treatment of choice for patients in severe cardiogenic shock. Combining veno-arterial extracorporeal life support (ECLS) with devices that enable left ventricular unloading emerges as a promising strategy to diminish detrimental effect of elevated left ventricular afterload and to improve survival. However, the need to establish multiple arterial access sites remains a major drawback of this approach due to a significant rate of vascular complications. We describe herein a case of a single arterial access for ECLS and intra-aortic balloon pump using axillary artery that may provide a simple, modular and flexible approach for escalation or de-escalation of mechanical circulatory support.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10837988PMC
http://dx.doi.org/10.1186/s13019-024-02581-6DOI Listing

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