title: Awake extracorporeal membrane oxygenation (ECMO) as bridge to recovery after left main coronary artery occlusion: a promising concept of haemodynamic support in cardiogenic shock.
abstract: Cardiogenic shock following acute myocardial infarction is associated with high mortality rate. Different management concepts including fluid management, inotropic support, intra aortic balloon counterpulsation (IABP) and extracorporeal membrane oxygenation (ECMO) mainly in mechanically ventilated patients have been used as cornerstones of management. However, success rates have been disappointing. Few reports suggested that ECMO when performed under circumvention of mechanical ventilation, may offer some survival benefits. We herein present our experience with the use of veno-arterial ECMO as bridge to recovery in an awake and spontaneously breathing patient after left main coronary artery occlusion complicated by cardiogenic shock.
authors.affiliation: University Hospital Rostock, Heart Center, Schillingallee 35, 18057 Rostock, Germany. Electronic address: uju77de@yahoo.de.
authors.forename: Anthony
authors.initials: A
authors.lastname: Alozie
authors.affiliation: University Hospital Rostock, Heart Center, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Stephan
authors.initials: S
authors.lastname: Kische
authors.affiliation: University Hospital Rostock, Department of Anesthesia and Intensive Care Medicine, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Birken
authors.affiliation: University Hospital Rostock, Heart Center, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Kaminski
authors.affiliation: University Hospital Rostock, Heart Center, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Westphal
authors.affiliation: University Hospital Rostock, Department of Anesthesia and Intensive Care Medicine, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Nöldge-Schomburg
authors.affiliation: University Hospital Rostock, Heart Center, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Ince
authors.affiliation: University Hospital Rostock, Heart Center, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Gustav
authors.initials: G
authors.lastname: Steinhoff
mesh_terms: D054059:Coronary Occlusion / Q000601:surgery*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*
keywords: Acute myocardial infarction; Cardiogenic shock; Extracorporeal membrane oxygenation (ECMO)