Extracorporeal Membrane Oxygenation as a bridge: No middle ground. Folium olivae o spinam coronam. Case Series

Erik J Orozco-Hernández; Enrique Góngora; Chris Bellot; Keith Wille; Victoria Rusanov; Samuel K Mcelwee; Charles W Hoopes

2020, Number 4

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Cir Card Mex 2020; 5 (4)

**Extracorporeal Membrane Oxygenation as a bridge: No middle ground. Folium olivae o spinam coronam. Case Series**

Orozco-Hernández EJ, Gongora E, Bellot C, Wille K, Rusanov V, Mcelwee SK, Hoopes CW

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Language: English
References: 31
Page: 134-140
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ABSTRACT

Extracorporeal life support (ECLS) is a broad term that includes extracorporeal membrane oxygenation (ECMO), cardiopulmonary bypass (CPB), and extracorporeal cardiopulmonary resuscitation (ECPR). ECMO is a life support device that performs gas-exchange and continuous-flow circulation, external to the body by providing cardio-respiratory support for patients with severe respiratory and/or cardiac failure. Evolution in technology has resulted in rapid increase in the utilization of ECMO as a bridge to recovery, long term support devices (LVAD), total artificial heart (TAH) and/ or transplantation. Although there is limited evidence for the use of ECMO as a bridge to advance therapies, recent improvements in technology, personnel training and ambulatory practices on ECMO have resulted in improved outcomes in patients bridged to other advance strategies. We presented a case series of ECMO as a bridge to different strategies, including bridge to a durable left ventricular assist device (LVAD), heart transplant (HT), lung transplant (LT) and heart-lung transplant (HL/T).

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