Category ECLS

Circulatory unloading during VA-ECMO

ECMO treatment is often responsible for an elevation of LV afterload caused by the blood flow from the ECMO arterial return cannula In cases of compromised LV function, the heart cannot eject against the additional afterload, leading to LV distention…

Extracorporeal life support

Extracorporeal life support is an overarching term for support with gas exchange, intended to support the failing heart or lungs, for short-term or medium-term use. It includes VA-ECMO, VV-ECMO, and extracorporeal carbon dioxide (CO2) removal.

Venoarterial ECMO

VA-ECMO is a form of extracorporeal life support where blood is withdrawn from the venous system and then infused into the arterial system to provide partial or complete circulatory or cardiac support; respiratory support by VA-ECMO can be adequate or…

Impella left ventricular assist device

Overview Impella is a catheter-based percutaneous ventricular assist device (VAD) with a continuous axial flow pump with a propeller at the tip of the catheter, positioned in a retrograde way across the aortic valve to directly vent the left ventricle…

TandemHeart

Overview TandemHeart is a percutaneous ventricular assist device (VAD) consisting of an extracorporeal centrifugal continuous flow pump that drains blood from the left atrium via a cannula introduced through the femoral vein and extended transseptally from the right atrium to…

Temporary Mechanical Circulatory Devices

Percutaneous Mechanical Circulatory Devices (MCS) Micro-axial Impella 2.5, CP, and 5.0 systems TandemHeart Investigational devices Paracorporeal pulsatile iVAC 2L HeartMate Percutaneous Heart Pump Extracorporeal Membrane Oxygenation (ECMO) Right Ventricular support Other mechanical terapies

Intra-Aortic Balloon Pump

Intra-Aortic Balloon Pump (IABP) counterpulsation is the most widely used mechanical circulatory devices in cardiogenic shock. Physiology of IABP counterpulsation The device inflates and deflates in concert with the cardiac cycle, increasing the diastolic blood pressure and reducing the systolic…