Impella 5.5 and venovenous extracorporeal membrane oxygenation as a bridge to ventricular assist device in cardiopulmonary failure
Austin Kluis, David Rawitscher, Aasim Afzal, J. Michael DiMaio, Timothy J. George
Abstract
Venoarterial extracorporeal membrane oxygenation (ECMO) in the setting of combined cardiopulmonary failure provides full support of both cardiac and respiratory systems. However, it is difficult to isolate and evaluate pulmonary recovery independent of cardiac function on venoarterial ECMO. In this case report, we demonstrate the advantage of supporting a patient in cardiopulmonary failure with venovenous ECMO and the Impella 5.5 as a method to isolate organ dysfunction, wean off ECMO as respiratory function improves, and bridge to a left ventricular assist device with Impella 5.5 monotherapy.
Topics & Concepts
Extracorporeal membrane oxygenationImpellaMedicineCardiologyVentricular functionRespiratory failureCardiopulmonary bypassInternal medicineBridge (graph theory)ExtracorporealCardiac function curveVentricular assist deviceCardiopulmonary resuscitationHeart failureOxygenationAnesthesiaResuscitationMechanical Circulatory Support DevicesCardiac Structural Anomalies and RepairCardiac Arrest and Resuscitation