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Related Concept Videos

Venous Return01:04

Venous Return

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The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
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Related Experiment Video

Updated: Sep 4, 2025

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
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Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting

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Interaction between VA-ECMO and the right ventricle.

Elena Puerto1, Guido Tavazzi2, Alessia Gambaro3

  • 1Servicio de Cardiología, Hospital Universitario 12 de Octubre e Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain.

Hellenic Journal of Cardiology : HJC = Hellenike Kardiologike Epitheorese
|July 21, 2022
PubMed
Summary

Right ventricular (RV) function is key for weaning from veno-arterial extracorporeal membrane oxygenation (VA-ECMO). RV performance during VA-ECMO is stable and not affected by cannulation or pre-existing failure, but pre-implantation RV health predicts successful weaning.

Keywords:
Extracorporeal membrane oxygenation (ECMO)acute failurecannulationright ventricle (RV)systolic dysfunction

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Area of Science:

  • Cardiology
  • Critical Care Medicine
  • Cardiovascular Surgery

Background:

  • The right ventricle's (RV) response to veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is unpredictable.
  • Pre-existing ventricular failure and cannulation strategy may influence RV performance during VA-ECMO.

Purpose of the Study:

  • To assess RV performance during VA-ECMO support.
  • To identify predictors of successful weaning from VA-ECMO based on RV function.

Main Methods:

  • Retrospective analysis of echocardiographic data from 87 adult patients on VA-ECMO.
  • Multivariable logistic regression to evaluate predictors of successful weaning due to myocardial recovery.

Main Results:

  • RV size and function parameters remained stable during VA-ECMO support, irrespective of cannulation or pre-existing failure.
  • Successful weaning was predicted by the absence of RV dysfunction before VA-ECMO and on the last day of support.
  • RV function recovery during VA-ECMO favored successful weaning, especially in patients with acute RV failure and longer support duration.

Conclusions:

  • Preservation or improvement of RV function during VA-ECMO is crucial for successful weaning.
  • RV echocardiographic performance is stable and not significantly influenced by cannulation type or pre-implantation ventricular failure.
  • Pre-implantation RV status is a critical predictor for successful VA-ECMO weaning.