COVID-19 and mechanical circulatory support

Copyright © 2020 Elsevier Masson SAS. All rights reserved..

Extracorporeal membrane oxygenation (ECMO) is mainly used as a rescue therapy in COVID-19 patients with severe acute respiratory distress syndrome (ARDS). More rarely, COVID-19 can be complicated by hemodynamic failure due to fulminant myocarditis or massive pulmonary embolism necessitating the implantation of venous-arterial ECMO. The management of ECMO during the COVID-19 pandemic is challenging due to some specificities related to the disease characteristics, such as the management of anticoagulation in patients with a hypercoagulable state and an increased risk of venous thromboembolism. In large retrospective cohorts, survival of ECMO-rescued COVID-19 patients with ADRS was reported to be similar to that reported in previous studies on ECMO support for severe ARDS. Full consideration of ECMO candidacy is crucial for appropriate allocation of resources.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:69

Enthalten in:

Annales de cardiologie et d'angeiologie - 69(2020), 6 vom: 10. Dez., Seite 360-364

Sprache:

Französisch

Weiterer Titel:

COVID-19 et assistance circulatoire

Beteiligte Personen:

Hekimian, G [VerfasserIn]
Frere, C [VerfasserIn]
Collet, J-P [VerfasserIn]

Links:

Volltext

Themen:

Acute respiratory distress syndrome
Anticoagulation
COVID-19
Coagulopathie
ECMO
Embolie pulmonaire
Extracorporeal membrane oxygenation
Fulminant myocarditis
Journal Article
Massive pulmonary embolism
Myocardite fulminante
Review
SDRA

Anmerkungen:

Date Completed 17.12.2020

Date Revised 10.01.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ancard.2020.10.004

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316616893