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Updated: Aug 16, 2026
Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Percutaneous left ventricular unloading of veno-arterial extracorporeal membrane oxygenation with the atrial flow
Yassine Benseghir1, Matteo Pozzi1,2, Jean François Obadia1
1Department of Cardiac Surgery, "Louis Pradel" Cardiologic Hospital, Lyon, France.
Abstract:
The use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has increased exponentially. Pulmonary congestion is a potentially life-threatening complication of peripheral VA-ECMO. Recently updated guidelines argue for a low threshold of left ventricular (LV) unloading. Although the optimal method of LV unloading is still a matter of debate, the percutaneous approaches became an increasingly used option over time. Here, we present a case of LV unloading with the Atrial Flow Regulator (Occlutech) in a patient supported with peripheral VA-ECMO.
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