The Role of Echocardiography in Extracorporeal Membrane Oxygenation

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..

PURPOSE OF REVIEW: Extracorporeal membrane oxygenation (ECMO) is increasingly used to temporarily support patients in severe circulatory and/or respiratory failure. Echocardiography is a core component of successful ECMO deployment. Herein, we review the role of echocardiography at different phases on extracorporeal support including candidate identification, cannulation, maintenance, complication vigilance, and decannulation.

RECENT FINDINGS: During cannulation, ultrasound is used to confirm intended vascular access and appropriate inflow cannula positioning. While on ECMO, echocardiographic evaluation of ventricular loading conditions and hemodynamics, cannula positioning, and surveillance for intracardiac or aortic thrombi is needed for complication mitigation. Echocardiography is crucial during all phases of ECMO use. Specific echocardiographic queries depend on the ECMO type, V-V, or V-A, and the specific cannula configuration strategy employed.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Current cardiology reports - 25(2023), 1 vom: 26. Jan., Seite 9-16

Sprache:

Englisch

Beteiligte Personen:

Hockstein, Maxwell A [VerfasserIn]
Singam, Narayana Sarma [VerfasserIn]
Papolos, Alexander I [VerfasserIn]
Kenigsberg, Benjamin B [VerfasserIn]

Links:

Volltext

Themen:

Critical care cardiology
Echocardiography
Extracorporeal membrane oxygenation
Journal Article
Mechanical circulatory support
Point-of-care ultrasound
Review

Anmerkungen:

Date Completed 17.01.2023

Date Revised 13.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11886-022-01827-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350831521