[Pumpless extracorporeal lung assist].
The recently introduced pumpless extracorporeal lung assist (PECLA) is a remarkable alternative to the conventional extracorporeal membrane oxygenation in case of severe lung failure. By establishing a shunt between femoral artery and vein using the arterio-venous pressure gradient as a driving force through a low-resistance membrane oxygenator, PECLA provides highly effective gas-exchange by preserved cardiac function. Due to its closed system, reduced priming volume and low heparin demand, the unfavourable effects of extracorporeal membrane oxygenation can be effectively diminished. Hence the small technical, financial and personal input, the PECLA can be ideally used in district hospitals and during transport as well. Our short summary demonstrates the advantages and safety of the system proven over 123 cases.
Göbölös
László
L
Pécsi Tudományegyetem, Altalános Orvostudományi Kar Szívgyógyászati Klinika Pécs. isartor@hotmail.com
Hejjel
László
L
Imre
Jenô
J
Lindenmayer-G
Réka
R
Wiebe
Karsten
K
Foltan
Maik
M
Thrum
Andrea
A
Ugocsai
Péter
P
Tóth
Zsolt
Z
Farkasfalvi
Klára
K
Sipos
Elemér
E
Kiss
Rudolf
R
Gyorimolnár
Iván
I
Philipp
Alois
A
D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005268:Femoral Vein / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome