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Good saturday night case - young pt, aortic valve endocarditis refractory cardiogenic shock. Transcaval ICE-guided LAVA-ECMO without pre- contrast CT. Full cardiocirculatory support with LV venting w only peripheral venous access. Thanks to Pedro Villablanca MD, MSc, FACC, FSCAI @HFHCardioFellow

14,157 Aufrufe • vor 2 Jahren •via X (Twitter)

4 Kommentare

Profilbild von ECMO_Doc
ECMO_Docvor 2 Jahren

@PedroMDMSc @HFHCardioFellow Very cool. Why the transcaval placement of the arterial cannula?

Profilbild von Igor Polivenok
Igor Polivenokvor 2 Jahren

@PedroMDMSc @HFHCardioFellow Could you explain the reason for transcaval approach?

Profilbild von Adriano Caixeta MD, PhD, DSc
Adriano Caixeta MD, PhD, DScvor 2 Jahren

@PedroMDMSc @HFHCardioFellow Great work!

Profilbild von Ryan Watson
Ryan Watsonvor 2 Jahren

@PedroMDMSc @HFHCardioFellow Agree very cool to do but what’s the reason. Why not just do a trans-septal with vent in the LA? Seems like extra time and effort

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