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Review
. 2023 Aug 1;19(4):66-73.
doi: 10.14797/mdcvj.1256. eCollection 2023.

Extracorporeal Membrane Oxygenation in Postcardiotomy Cardiogenic Shock

Bassel Akbik  1 , Lin-Chiang P Chou  2 , Janardhana Gorthi  3
Affiliations
Review

Extracorporeal Membrane Oxygenation in Postcardiotomy Cardiogenic Shock

Bassel Akbik et al. Methodist Debakey Cardiovasc J. .

Abstract

Postcardiotomy extracorporeal membrane oxygenation (PC-ECMO), the most frequent indication for ECMO in the United States, is increasingly used as the first-line mechanical circulatory support in patients who are refractory to conventional treatment. Despite increasing use of PC-ECMO, limited evidence is available regarding its safety, efficacy, and optimal timing for initiation and weaning. The decision to use PC-ECMO often is made in the absence of robust clinical data, leading to variability in patient selection, management, and outcomes across different institutions. This article summarizes current evidence on ECMO use in postcardiotomy cardiogenic shock and discusses its potential benefits, management, complications, and outcomes.

Keywords: ECMO; LV unloading; cardiogenic shock; postcardiotomy shock.

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Conflict of interest statement

The author has no competing interests to declare.

Figures

Peripheral ECMO cannulation approach
Figure 1
Peripheral extracorporeal membrane oxygenation cannulation approach.
Subxiphoid tunneled cannulation approach
Figure 2
Subxiphoid tunneled cannulation approach.
See this image and copyright information in PMC

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