title: Cardiac decompression on extracorporeal life support: a review and discussion of the literature.
abstract: Extracorporeal life support is a worldwide expanding technology for patients in critical cardiogenic shock. The device is usually attached to the femoral vessels using percutaneous techniques. Despite sufficient extracorporeal circulatory support, an unclear number of patients develop high end-diastolic pressures leading to left ventricular distension and pulmonary edema, and ventricular thrombus formation may evolve. This article discusses the strategies to prevent ventricular distension by conservative, interventional, and surgical means, also illustrated by case presentations.
authors.affiliation: From the *Department of Cardiothoracic Surgery, †Department of Anesthesiology, and ‡Department of Internal Medicine II, University Medical Center Regensburg, Regensburg, Germany.
authors.forename: Leopold
authors.initials: L
authors.lastname: Rupprecht
authors.forename: Bernhard
authors.initials: B
authors.lastname: Flörchinger
authors.forename: Simon
authors.initials: S
authors.lastname: Schopka
authors.forename: Christof
authors.initials: C
authors.lastname: Schmid
authors.forename: Alois
authors.initials: A
authors.lastname: Philipp
authors.forename: Dirk
authors.initials: D
authors.lastname: Lunz
authors.forename: Thomas
authors.initials: T
authors.lastname: Müller
authors.forename: Daniele
authors.initials: D
authors.lastname: Camboni
mesh_terms: D019299:Decompression, Surgical; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D018487:Ventricular Dysfunction, Left / Q000209:etiology* / Q000601:surgery*