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Your search keyword '"Respiratory Insufficiency/therapy"' showing total 2 results
Start Over Descriptor "Respiratory Insufficiency/therapy" Database MEDLINE
2 results on '"Respiratory Insufficiency/therapy"'

1. Extracorporeal membrane oxygenation with hemoconcentration: in a hypervolemic patient with critical aortic stenosis.

Author

Gregoric ID, Kar B, Gholkar G, Patel S, Crane T, Nathan S, and Loyalka P

Subjects
Aortic Valve Stenosis complications, Aortic Valve Stenosis diagnosis, Aortic Valve Stenosis physiopathology, Humans, Hypotension complications, Hypotension diagnosis, Hypotension physiopathology, Male, Middle Aged, Severity of Illness Index, Shock, Cardiogenic diagnosis, Shock, Cardiogenic etiology, Shock, Cardiogenic physiopathology, Treatment Outcome, Aortic Valve Stenosis surgery, Blood Volume, Extracorporeal Membrane Oxygenation, Fluid Therapy adverse effects, Heart Valve Prosthesis Implantation, Hypotension therapy, Shock, Cardiogenic therapy
Abstract

Herein, we describe the case of a 60-year-old man with severe nonischemic cardiomyopathy and hypervolemia. By means of venoarterial extracorporeal membrane oxygenation at the bedside, along with hemoconcentration, the patient was resuscitated from severe cardiogenic shock and normal blood volume was restored. Within 24 hours, he was able to undergo a high-risk aortic valve replacement for severe aortic stenosis, with a successful outcome. To our knowledge, this is the first reported case in which hemoconcentration with extracorporeal membrane oxygenation has been used to support a patient with severe hypervolemia.

Published
2011

2. Extracorporeal membrane oxygenation using the TandemHeart System's catheters.

Author

Herlihy JP, Loyalka P, Jayaraman G, Kar B, and Gregoric ID

Subjects
Adult, Cardiac Catheterization adverse effects, Cryptogenic Organizing Pneumonia complications, Cryptogenic Organizing Pneumonia diagnosis, Cryptogenic Organizing Pneumonia therapy, Endarterectomy, Equipment Design, Extracorporeal Membrane Oxygenation adverse effects, Fatal Outcome, Female, Heart Failure etiology, Humans, Hypertension, Pulmonary etiology, Leiomyosarcoma complications, Leiomyosarcoma diagnosis, Leiomyosarcoma surgery, Male, Middle Aged, Pulmonary Artery pathology, Pulmonary Artery surgery, Respiratory Insufficiency etiology, Tomography, X-Ray Computed, Treatment Outcome, Vascular Neoplasms complications, Vascular Neoplasms diagnosis, Vascular Neoplasms surgery, Cardiac Catheterization instrumentation, Extracorporeal Membrane Oxygenation instrumentation, Heart Failure therapy, Heart-Assist Devices, Hypertension, Pulmonary therapy, Respiratory Insufficiency therapy
Abstract

We describe the initial--and successful--use of the TandemHeart System's catheters to provide extracorporeal membrane oxygenation (ECMO), in 2 patients. In 1 patient, who was experiencing severe primary respiratory failure, the catheters provided a standard venovenous ECMO circuit. In the other patient, who had severe, acute pulmonary hypertension and right-heart failure, the catheters enabled a novel right atrial-to-left atrial circuit for ECMO. We discuss the potential of the TandemHeart System's catheters to provide novel and possibly superior vascular routes for the delivery of ECMO in different types of cardiopulmonary failure.

Published
2009

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