Successful extracorporeal membrane oxygenation weaning after cardiac resynchronization therapy device implantation in a patient with end-stage heart failure

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Successful extracorporeal membrane oxygenation weaning after cardiac resynchronization therapy device implantation in a patient with end-stage heart failure. / Pecha, Simon; Yildirim, Yalin; Reichenspurner, Hermann; Deuse, Tobias.

In: INTERACT CARDIOV TH, Vol. 15, No. 5, 11.2012, p. 922-923.

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@article{b1e7757244e84478a175bafc9fba5d88,
title = "Successful extracorporeal membrane oxygenation weaning after cardiac resynchronization therapy device implantation in a patient with end-stage heart failure",
abstract = "We present the case of a 46-year old male with end-stage heart failure due to ethyltoxic cardiomyopathy. The patient did not meet the criteria for heart transplantation and declined left ventricular assist device implantation. We decided to conduct cardiac resynchronization therapy defibrillator (CRT-D) implantation. Under general anaesthesia for CRT-D implantation, cardiac function worsened. Due to deteriorating haemodynamics, CRT-D implantation was aborted and emergent veno-arterial extracorporeal membrane oxygenation (ECMO) implantation was performed. Subsequent weaning from ECMO was not possible. We decided to proceed with CRT-D implantation while still on ECMO support. With biventricular stimulation, cardiac function improved promptly and the patient could be weaned from ECMO the same day.",
keywords = "Cardiac Resynchronization Therapy, Cardiac Resynchronization Therapy Devices, Cardiomyopathy, Alcoholic/complications, Defibrillators, Implantable, Extracorporeal Membrane Oxygenation, Heart Failure/diagnosis, Hemodynamics, Humans, Male, Middle Aged, Recovery of Function, Treatment Outcome, Ventricular Function",
author = "Simon Pecha and Yalin Yildirim and Hermann Reichenspurner and Tobias Deuse",
year = "2012",
month = nov,
doi = "10.1093/icvts/ivs338",
language = "English",
volume = "15",
pages = "922--923",
journal = "INTERACT CARDIOV TH",
issn = "1569-9293",
publisher = "European Association for Cardio-Thoracic Surgery",
number = "5",

}

RIS

TY - JOUR

T1 - Successful extracorporeal membrane oxygenation weaning after cardiac resynchronization therapy device implantation in a patient with end-stage heart failure

AU - Pecha, Simon

AU - Yildirim, Yalin

AU - Reichenspurner, Hermann

AU - Deuse, Tobias

PY - 2012/11

Y1 - 2012/11

N2 - We present the case of a 46-year old male with end-stage heart failure due to ethyltoxic cardiomyopathy. The patient did not meet the criteria for heart transplantation and declined left ventricular assist device implantation. We decided to conduct cardiac resynchronization therapy defibrillator (CRT-D) implantation. Under general anaesthesia for CRT-D implantation, cardiac function worsened. Due to deteriorating haemodynamics, CRT-D implantation was aborted and emergent veno-arterial extracorporeal membrane oxygenation (ECMO) implantation was performed. Subsequent weaning from ECMO was not possible. We decided to proceed with CRT-D implantation while still on ECMO support. With biventricular stimulation, cardiac function improved promptly and the patient could be weaned from ECMO the same day.

AB - We present the case of a 46-year old male with end-stage heart failure due to ethyltoxic cardiomyopathy. The patient did not meet the criteria for heart transplantation and declined left ventricular assist device implantation. We decided to conduct cardiac resynchronization therapy defibrillator (CRT-D) implantation. Under general anaesthesia for CRT-D implantation, cardiac function worsened. Due to deteriorating haemodynamics, CRT-D implantation was aborted and emergent veno-arterial extracorporeal membrane oxygenation (ECMO) implantation was performed. Subsequent weaning from ECMO was not possible. We decided to proceed with CRT-D implantation while still on ECMO support. With biventricular stimulation, cardiac function improved promptly and the patient could be weaned from ECMO the same day.

KW - Cardiac Resynchronization Therapy

KW - Cardiac Resynchronization Therapy Devices

KW - Cardiomyopathy, Alcoholic/complications

KW - Defibrillators, Implantable

KW - Extracorporeal Membrane Oxygenation

KW - Heart Failure/diagnosis

KW - Hemodynamics

KW - Humans

KW - Male

KW - Middle Aged

KW - Recovery of Function

KW - Treatment Outcome

KW - Ventricular Function

U2 - 10.1093/icvts/ivs338

DO - 10.1093/icvts/ivs338

M3 - SCORING: Journal article

C2 - 22851758

VL - 15

SP - 922

EP - 923

JO - INTERACT CARDIOV TH

JF - INTERACT CARDIOV TH

SN - 1569-9293

IS - 5

ER -