Utility of transesophageal echocardiography to assess real time left atrial pressure changes and dynamic mitral regurgitation following placement of transseptal multistage venous cannula for systemic venous drainage and indirect left ventricular venting in venoarterial extracorporeal membrane oxygenation

2021 ◽  
Author(s):  
Jacob Bradley Meers ◽  
Navin C. Nanda ◽  
Thomas Evan Watts ◽  
Shane Prejean ◽  
Charles W. Hoopes ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Extracorporeal Membrane Oxygenation ◽  
Transesophageal Echocardiography ◽  
Real Time ◽  
Left Atrial ◽  
Venous Drainage ◽  
Left Ventricular ◽  
Venoarterial Extracorporeal Membrane Oxygenation ◽  
Venous Cannula ◽  
Pressure Changes

Femoral venoarterial extracorporeal membrane oxygenation using a novel biatrial cannula for venous drainage and left ventricular venting

2020 ◽  
Vol 35 (12) ◽  
pp. 3631-3633
Author(s):  
Erik J. Orozco‐Hernandez ◽  
Mustafa I. Ahmed ◽  
Greg Von Meering ◽  
Samuel K. Mcelwee ◽  
Shane P. Prejean ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Venous Drainage ◽  
Left Ventricular ◽  
Membrane Oxygenation ◽  
Venoarterial Extracorporeal Membrane Oxygenation

Real-Time 3-Dimensional Transesophageal Echocardiography Imaging–Guided Percutaneous Closure of Left Ventricular to Left Atrial Fistula

2019 ◽  
Vol 13 (12) ◽  
pp. 473-476
Author(s):  
Yanick Baribeau ◽  
Faraz Mahmood ◽  
Aidan Sharkey ◽  
Jeffrey Bortman ◽  
Robina Matyal ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Real Time ◽  
Left Atrial ◽  
Left Ventricular ◽  
Percutaneous Closure ◽  
3 Dimensional

scholarly journals Venoarterial extracorporeal membrane oxygenation as mechanical circulatory support in adult septic shock: a systematic review and meta-analysis with individual participant data meta-regression analysis

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Ryan Ruiyang Ling ◽  
Kollengode Ramanathan ◽  
Wynne Hsing Poon ◽  
Chuen Seng Tan ◽  
Nicolas Brechot ◽  
...  
Keyword(s):  
Septic Shock ◽  
Extracorporeal Membrane Oxygenation ◽  
Mechanical Circulatory Support ◽  
Meta Analysis ◽  
Left Ventricular ◽  
Adult Patients ◽  
Circulatory Support ◽  
Venoarterial Extracorporeal Membrane Oxygenation ◽  
Refractory Septic Shock ◽  
Va Ecmo

Abstract Background While recommended by international societal guidelines in the paediatric population, the use of venoarterial extracorporeal membrane oxygenation (VA ECMO) as mechanical circulatory support for refractory septic shock in adults is controversial. We aimed to characterise the outcomes of adults with septic shock requiring VA ECMO, and identify factors associated with survival. Methods We searched Pubmed, Embase, Scopus and Cochrane databases from inception until 1st June 2021, and included all relevant publications reporting on > 5 adult patients requiring VA ECMO for septic shock. Study quality and certainty in evidence were assessed using the appropriate Joanna Briggs Institute checklist, and the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach, respectively. The primary outcome was survival to hospital discharge, and secondary outcomes included intensive care unit length of stay, duration of ECMO support, complications while on ECMO, and sources of sepsis. Random-effects meta-analysis (DerSimonian and Laird) were conducted. Data synthesis We included 14 observational studies with 468 patients in the meta-analysis. Pooled survival was 36.4% (95% confidence interval [CI]: 23.6%–50.1%). Survival among patients with left ventricular ejection fraction (LVEF) < 20% (62.0%, 95%-CI: 51.6%–72.0%) was significantly higher than those with LVEF > 35% (32.1%, 95%-CI: 8.69%–60.7%, p = 0.05). Survival reported in studies from Asia (19.5%, 95%-CI: 13.0%–26.8%) was notably lower than those from Europe (61.0%, 95%-CI: 48.4%–73.0%) and North America (45.5%, 95%-CI: 16.7%–75.8%). GRADE assessment indicated high certainty of evidence for pooled survival. Conclusions When treated with VA ECMO, the majority of patients with septic shock and severe sepsis-induced myocardial depression survive. However, VA ECMO has poor outcomes in adults with septic shock without severe left ventricular depression. VA ECMO may be a viable treatment option in carefully selected adult patients with refractory septic shock.

Thrombus or Bilobar Left Atrial Appendage? Diagnosis by Real-Time Three-Dimensional Transesophageal Echocardiography

2009 ◽  
Vol 108 (1) ◽  
pp. 70-72 ◽  
Author(s):  
K Annette Mizuguchi ◽  
Thomas M. Burch ◽  
Bernard E. Bulwer ◽  
Amanda A. Fox ◽  
Robert J. Rizzo ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Real Time ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Three Dimensional ◽  
Atrial Appendage
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