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Updated: May 9, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Peripheral extracorporeal membrane oxygenation as short-term right ventricular support after HeartWare left
Magnus Dalén1, Ulrik Sartipy, Lars H Lund
1Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. magnus.dalen@karolinska.se
Abstract:
Left ventricular assist device (LVAD) implantation is associated with the risk of early postoperative right heart dysfunction, which may require urgent institution of mechanical right ventricular support. This is conventionally achieved by cannulation of the femoral vein or right atrial appendage for the inflow and the pulmonary artery for the outflow. However, this requires resternotomy with increased risk of wound and device infection, as well as excessive bleeding. We describe the use of peripheral venoarterial extracorporeal membrane oxygenation as a short-term treatment of right heart failure after HeartWare LVAD implantation.
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