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Review
. 2018 Feb;26(2):58-66.
doi: 10.1007/s12471-018-1073-9.

Extracorporeal life support in cardiogenic shock: indications and management in current practice

C L Meuwese  1 , F Z Ramjankhan  2 , S A Braithwaite  3 , N de Jonge  4 , M de Jong  2 , M P Buijsrogge  2 , J G D Janssen  5 , C Klöpping  4 , J H Kirkels  4 , D W Donker  5
Affiliations
Review

Extracorporeal life support in cardiogenic shock: indications and management in current practice

C L Meuwese et al. Neth Heart J. 2018 Feb.

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.

Keywords: Cardiogenic shock; Extracorporeal life support (ECLS); Extracorporeal membrane oxygenation (ECMO); Short-term cardiac mechanical support.

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Conflict of interest statement

C.L. Meuwese, F.Z. Ramjankhan, S.A. Braithwaite, N. de Jonge, M. de Jong, M.P. Buijsrogge, J.G.D. Janssen, C. Klöpping and J.H. Kirkels declare that they have no competing interests. D.W. Donker has received fees for lectures from Maquet Getinge.

Figures

Fig. 1
Fig. 1
Schematic illustration of a VA-ECLS system
Fig. 2
Fig. 2
Causes of acute cardiogenic shock in the emergency room
Fig. 3
Fig. 3
Harlequin’s syndrome. Harlequin’s syndrome can arise when relatively de-oxygenated blood, ejected by the left ventricle in case of poor pulmonary oxygenation, perfuses the aortic arch
See this image and copyright information in PMC

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