The Role of Echocardiography in Extracorporeal Membrane Oxygenation. [Review]

MedStar author(s):
Citation: Current Cardiology Reports. 25(1):9-16, 2023 Jan.PMID: 36571660Institution: MedStar Heart & Vascular Institute | MedStar Washington Hospital CenterDepartment: Emergency Medicine | Surgery/Surgical Critical CareForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Extracorporeal Membrane Oxygenation | *Respiratory Insufficiency | Catheterization | Echocardiography/ae [Adverse Effects] | Humans | Respiratory Insufficiency/dg [Diagnostic Imaging] | Respiratory Insufficiency/et [Etiology] | Respiratory Insufficiency/th [Therapy] | UltrasonographyYear: 2023ISSN:
  • 1523-3782
Name of journal: Current cardiology reportsAbstract: PURPOSE OF REVIEW: Extracorporeal membrane oxygenation (ECMO) is increasingly used to temporarily support patients in severe circulatory and/or respiratory failure. Echocardiography is a core component of successful ECMO deployment. Herein, we review the role of echocardiography at different phases on extracorporeal support including candidate identification, cannulation, maintenance, complication vigilance, and decannulation.RECENT FINDINGS: During cannulation, ultrasound is used to confirm intended vascular access and appropriate inflow cannula positioning. While on ECMO, echocardiographic evaluation of ventricular loading conditions and hemodynamics, cannula positioning, and surveillance for intracardiac or aortic thrombi is needed for complication mitigation. Echocardiography is crucial during all phases of ECMO use. Specific echocardiographic queries depend on the ECMO type, V-V, or V-A, and the specific cannula configuration strategy employed. Copyright © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.All authors: Hockstein MAFiscal year: FY2023Digital Object Identifier:
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 36571660 Available 36571660

PURPOSE OF REVIEW: Extracorporeal membrane oxygenation (ECMO) is increasingly used to temporarily support patients in severe circulatory and/or respiratory failure. Echocardiography is a core component of successful ECMO deployment. Herein, we review the role of echocardiography at different phases on extracorporeal support including candidate identification, cannulation, maintenance, complication vigilance, and decannulation.

RECENT FINDINGS: During cannulation, ultrasound is used to confirm intended vascular access and appropriate inflow cannula positioning. While on ECMO, echocardiographic evaluation of ventricular loading conditions and hemodynamics, cannula positioning, and surveillance for intracardiac or aortic thrombi is needed for complication mitigation. Echocardiography is crucial during all phases of ECMO use. Specific echocardiographic queries depend on the ECMO type, V-V, or V-A, and the specific cannula configuration strategy employed. Copyright © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

English

Powered by Koha