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Percutaneous left ventricular unloading of veno-arterial extracorporeal membrane oxygenation with the atrial flow regulator

Abstract : The use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has increased exponentially. Pulmonary congestion is a potentially life-threatening complication of peripheral VA-ECMO. Recently updated guidelines argue for a low threshold of left ventricular (LV) unloading. Although the optimal method of LV unloading is still a matter of debate, the percutaneous approaches became an increasingly used option over time. Here, we present a case of LV unloading with the Atrial Flow Regulator (Occlutech) in a patient supported with peripheral VA-ECMO.
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https://www.hal.inserm.fr/inserm-03755198
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Submitted on : Monday, August 22, 2022 - 8:07:28 AM
Last modification on : Friday, September 30, 2022 - 11:58:07 AM

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Y. Benseghir, M. Pozzi, J. F. Obadia, G. Rioufol. Percutaneous left ventricular unloading of veno-arterial extracorporeal membrane oxygenation with the atrial flow regulator. Journal of Cardiovascular Surgery, Edizione Minerva Medica, 2022, 37 (7), pp.2131-2133. ⟨10.1111/jocs.16495⟩. ⟨inserm-03755198⟩

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