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Intensive Care Medicine

, Volume 39, Issue 6, pp 1152–1153 | Cite as

Cardiac support with IABP during venovenous ECMO for ARDS

  • Federico PappalardoEmail author
  • Marina Pieri
  • Michele De Bonis
  • Giulia Maj
  • Maria Grazia Calabrò
  • Silvia Ajello
  • Giulio Melisurgo
  • Alberto Zangrillo
Correspondence
  • 704 Downloads

Dear Editor,

Right ventricular failure during acute respiratory distress syndrome (ARDS) is common [1] and has poor prognostic implications [2]. Venovenous extracorporeal membrane oxygenation (VV ECMO) often restores hemodynamic stability by correcting the metabolic milieu. The mechanical circulatory support provided by VV ECMO, however, is only indirect and mediated by the reduction in pulmonary artery pressure secondary to the correction of hypoxemia and acidosis. On the other hand, transition from VV to venoarterial (VA) ECMO support is not free from risks. In this context, intraaortic balloon pump (IABP) counterpulsation may be advantageous, as it is aimed at improving the ventricular performance of the failing heart by facilitating an increase in myocardial oxygen supply and a decrease in myocardial oxygen demand [3]. Furthermore, IABP has already been shown to be useful in improving right ventricular pressure-induced failure [4].

Based on these considerations, we treated six...

Keywords

Acute Respiratory Distress Syndrome Mechanical Circulatory Support ECMO Support Intraaortic Balloon Pump IABP Support 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflicts of interest

The authors have no conflict of interest to declare.

Supplementary material

134_2013_2886_MOESM1_ESM.doc (35 kb)
Supplementary material 1 (DOC 35 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2013

Authors and Affiliations

  • Federico Pappalardo
    • 1
    Email author
  • Marina Pieri
    • 1
  • Michele De Bonis
    • 2
  • Giulia Maj
    • 1
  • Maria Grazia Calabrò
    • 1
  • Silvia Ajello
    • 3
  • Giulio Melisurgo
    • 1
  • Alberto Zangrillo
    • 1
  1. 1.Department of Anesthesia and Intensive CareSan Raffaele Scientific InstituteMilanItaly
  2. 2.Department of Cardiac SurgerySan Raffaele Scientific InstituteMilanItaly
  3. 3.Department of CardiologySan Raffaele Scientific InstituteMilanItaly

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