Cardiology Division, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Tel HaShomer, Israel Affiliated to Sackler School of Medicine at Tel-Aviv University, Ramat-Aviv, Israel.
Department of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité (DHZC), Augustenburger Platz 1, 13353, Berlin, Germany.
J Cardiothorac Surg. 2024 Feb 3;19(1):42. doi: 10.1186/s13019-024-02581-6.
Temporary mechanical circulatory support is a treatment of choice for patients in severe cardiogenic shock. Combining veno-arterial extracorporeal life support (ECLS) with devices that enable left ventricular unloading emerges as a promising strategy to diminish detrimental effect of elevated left ventricular afterload and to improve survival. However, the need to establish multiple arterial access sites remains a major drawback of this approach due to a significant rate of vascular complications. We describe herein a case of a single arterial access for ECLS and intra-aortic balloon pump using axillary artery that may provide a simple, modular and flexible approach for escalation or de-escalation of mechanical circulatory support.
临时机械循环支持是严重心源性休克患者的首选治疗方法。将静脉-动脉体外生命支持 (ECLS) 与能够实现左心室卸载的设备相结合，是减少升高的左心室后负荷的有害影响并提高生存率的一种有前途的策略。然而，由于血管并发症发生率高，需要建立多个动脉接入部位仍然是该方法的主要缺点。我们在此描述了一例使用腋动脉进行 ECLS 和主动脉内球囊泵的单一动脉接入的病例，这可能为机械循环支持的升级或降级提供一种简单、模块化和灵活的方法。
