Early left ventricular unloading via active transseptal left atrial venting in case of cardiogenic shock under veno‐arterial extracorporeal membrane oxygenation: A meta‐analysis.
- Resource Type
- Article
- Authors
- Ughetto, Aurore; Aouinti, Safa; Molinari, Nicolas; Roubille, François; Delmas, Clément
- Source
- European Journal of Heart Failure. Mar2024, Vol. 26 Issue 3, p701-703. 3p.
- Subject
- *CARDIOGENIC shock
*EXTRACORPOREAL membrane oxygenation
*LEFT heart atrium
*LOADING & unloading
*ARTIFICIAL blood circulation
*INTRA-aortic balloon counterpulsation
*HEART assist devices
- Language
- ISSN
- 1388-9842
A meta-analysis published in the European Journal of Heart Failure examined the use of left ventricular (LV) unloading via active transseptal left atrial (LA) venting in patients with cardiogenic shock (CS) supported by veno-arterial extracorporeal membrane oxygenation (VA-ECMO). The study found that early active LA venting did not offer any prognostic advantages compared to the conventional approach using LA venting in case of pulmonary edema. The authors noted that the efficacy of LA venting for effective LV unloading remains debatable, and the optimal timing and device choice for LV unloading need further research. The study concluded that current evidence does not support the routine use of LA venting in patients on VA-ECMO. [Extracted from the article]