Central Extracorporeal Membrane Oxygenation for Bridging of Right-Sided Heart Failure to Lung Transplantation: A Single-Center Experience and Literature Review.

Affiliation

Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. Electronic address: [Email]

Abstract

OBJECTIVE : Right-sided heart failure develops in lung transplantation candidates on prolonged peripheral extracorporeal membrane oxygenation support and is a major determinant of mortality. The use of central venoarterial extracorporeal membrane oxygenation for bridging of right-sided heart failure to lung transplantation was evaluated.
METHODS : Retrospective case series and literature review.
METHODS : A single tertiary care university hospital.
METHODS : The study comprised lung transplantation candidates on extracorporeal membrane oxygenation bridging who developed right-sided heart failure.
METHODS : Central venoarterial extracorporeal membrane oxygenation.
RESULTS : Of 6 patients who underwent the study protocol, 3 were bridged successfully to lung transplantation and 1 was bridged to recovery.
CONCLUSIONS : The study demonstrates that central extracorporeal membrane oxygenation may be a feasible option for bridging of right-sided heart failure to lung transplantation.

Keywords

cannulation,extracorporeal membrane oxygenation,lung transplantation,right-sided heart failure,

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