This review outlines conservative, interventional, and surgical strategies to prevent left ventricular distension and pulmonary edema in patients receiving extracorporeal life support for cardiogenic shock.
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Supports consideration of preventive strategies for LV distension on ECLS; leaves open optimal selection pending prospective trials.
Extracorporeal life support is a worldwide expanding technology for patients in critical cardiogenic shock. The device is usually attached to the femoral vessels using percutaneous techniques. Despite sufficient extracorporeal circulatory support, an unclear number of patients develop high end-diastolic pressures leading to left ventricular distension and pulmonary edema, and ventricular thrombus formation may evolve. This article discusses the strategies to prevent ventricular distension by conservative, interventional, and surgical means, also illustrated by case presentations.
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Rupprecht et al. (2013) studied this question.
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