Liberal use of veno-arterial extracorporeal membrane oxygenation in combined sequential heart-liver transplantation.
Perfusion
; : 2676591241228975, 2024 Jan 22.
Article
en En
| MEDLINE
| ID: mdl-38254250
ABSTRACT
Combined heart-liver transplantation (CHLT) is a rarely though increasingly performed procedure with evolving indications. Despite CHLT being performed at only a handful of centers, the use of intraoperative mechanical circulatory support to optimize hemodynamics and facilitate dual-organ transplantation varies widely. At our center, we liberally utilize veno-arterial extracorporeal membrane oxygenation (V-A ECMO) when a veno-venous shunt is anticipated to be insufficient in mitigating the hemodynamic perturbations associated with liver reperfusion. In this series, we describe our experience with V-A ECMO in sequential (heart-first) CHLT and demonstrate highly favorable outcomes with this strategy.
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Base de datos:
MEDLINE
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En
Revista:
Perfusion
Asunto de la revista:
CARDIOLOGIA
Año:
2024
Tipo del documento:
Article