Extracorporeal Membrane Oxygenation in Cardiopulmonary Disease in Adults

被引:373
作者
Abrams, Darryl [1 ]
Combes, Alain [2 ]
Brodie, Daniel [1 ]
机构
[1] Columbia Univ Coll Phys & Surg, Div Pulm Allergy & Crit Care, New York, NY 10032 USA
[2] Univ Paris 06, Grp Hosp Pitie Salpetriere, Assistance Publ Hop Paris, Inst Cardiometab & Nutr,Serv Reanimat Med, Paris, France
关键词
ARDS; cardiogenic shock; extracorporeal membrane oxygenation; heart failure; respiratory failure; RESPIRATORY-DISTRESS-SYNDROME; CARBON-DIOXIDE REMOVAL; MECHANICAL CIRCULATORY SUPPORT; HOSPITAL CARDIAC-ARREST; ACUTE LUNG INJURY; PERCUTANEOUS CORONARY INTERVENTION; PULMONARY ARTERIAL-HYPERTENSION; REFRACTORY CARDIOGENIC-SHOCK; 2009 INFLUENZA A(H1N1); PRIMARY GRAFT FAILURE;
D O I
10.1016/j.jacc.2014.03.046
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The use of extracorporeal membrane oxygenation ( ECMO) for both respiratory and cardiac failure in adults is evolving rapidly. Advances in technology and accumulating data are spurring greater interest and explosive growth in ECMO worldwide. Expanding indications and novel strategies are being used. Yet the use of ECMO outpaces the data. The promise of a major paradigm shift for the treatment of respiratory and cardiac failure is tempered by a need for evidence to support many current and potential future uses. The authors review cannulation strategies, indications, and evidence for ECMO in respiratory and cardiac failure in adults as well as potential applications and the impact they may have on current treatment paradigms. (C) 2014 by the American College of Cardiology Foundation
引用
收藏
页码:2769 / 2778
页数:10
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