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Immediate cardiac allograft failure. ECMO versus total artificial heart support
R M Adamson1, W P Dembitsky, P O Daily
1Sharp Memorial Hospital, San Diego, California, USA.
ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|July 1, 1996
Summary
Extracorporeal membrane oxygenation (ECMO) may increase risks of thrombosis and pulmonary infarction in immediate cardiac allograft failure. Total artificial heart or biventricular support may be safer alternatives for these critical patients.
Area of Science:
- Cardiology
- Cardiothoracic Surgery
- Transplantation Medicine
Background:
- Immediate graft failure following cardiac transplantation presents complex management challenges.
- Extracorporeal membrane oxygenation (ECMO) offers prolonged cardiopulmonary support but its utility in profound graft failure is debated.
- Heparin-bonded circuits have enabled extended ECMO use.