Abstract
Veno-arterial extracorporeal life support (VA-ECLS) provides circulatory and respiratory stabilisation in patients with severe refractory cardiogenic shock. Although randomised controlled trials are lacking, the use of VA-ECLS is increasing and observational studies repeatedly have shown treatment benefits in well-selected patients. Current clinical challenges in VA-ECLS relate to optimal management of the individual patient on extracorporeal support given its inherent complexity. In this review article we will discuss indications, daily clinical management and complications of VA-ECLS in cardiogenic shock refractory to conventional treatment strategies.
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Details
1 University Medical Center Utrecht, Department of Cardiology, Utrecht, The Netherlands (GRID:grid.7692.a) (ISNI:0000000090126352)
2 University Medical Center Utrecht, Department of Cardiothoracic Surgery, Utrecht, The Netherlands (GRID:grid.7692.a) (ISNI:0000000090126352)
3 University Medical Center Utrecht, Department of Anesthesiology, Utrecht, The Netherlands (GRID:grid.7692.a) (ISNI:0000000090126352)
4 University Medical Center Utrecht, Department of Intensive Care Medicine, Utrecht, The Netherlands (GRID:grid.7692.a) (ISNI:0000000090126352)