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Femoral Veno-Arterial Extracorporeal Membrane Oxygenation using a novel bi-atrial cannula for venous dranaige and left ventricular venting
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  • Erik Orozco-Hernandez,
  • Mustafa Ahmed,
  • Greg Meering,
  • Samuel Mcelwee,
  • Shane Prejean,
  • Enrique Gongora,
  • Charles Hoopes
Erik Orozco-Hernandez
UAB
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Mustafa Ahmed
UAB
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Greg Meering
UAB
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Samuel Mcelwee
UAB
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Shane Prejean
UAB
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Enrique Gongora
UAB
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Charles Hoopes
UAB
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Abstract

Extracorporeal life support (ECLS) is an expanding technology for patients in cardiogenic shock. Most patients requiring ECLS can be managed with percutaneous veno-arterial (VA) femoral cannulation. Despite sufficient extracorporeal circulatory support, an unclear number of patients develop left ventricular distension which can result in increased wall tension and stress as well as worsening pulmonary edema. Indications to vent the left ventricle can be controversial. When venting is indicated a number of additional procedures may be considered including inotropic support, intra-aortic balloon pump, Impella, balloon atrial septostomy, or placement of a transseptal cannula. We present a unique case of a femoral VA Extracorporeal membrane oxygenation (ECMO) as bridge to transplant (BTT) with left-sided venting using a Bio-medicus NextGen cannula (Medtronic) with a transseptal approach.

Peer review status:UNDER REVIEW

25 Jul 2020Submitted to Journal of Cardiac Surgery
29 Jul 2020Submission Checks Completed
29 Jul 2020Assigned to Editor
31 Jul 2020Review(s) Completed, Editorial Evaluation Pending
31 Jul 2020Editorial Decision: Revise Minor
26 Aug 20201st Revision Received
31 Aug 2020Submission Checks Completed
31 Aug 2020Assigned to Editor
31 Aug 2020Review(s) Completed, Editorial Evaluation Pending