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EuroPCR 25th annual meeting of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Paris 20-23 May 2014
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EuroPCR25th annual meeting of the European Association of Percutaneous Cardiovascular Interventions (EAPCI)

Paris20-23 May 2014

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EuroPCR 2014Paris

20-23 May 2014

Extracorporeal membrane oxygenation (ECMO) in interventional cardiology

Commentary:

Professor Andrew BoyleJohn Hunter Hospital, Newcastle

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Date of preparation May 2014 │BRI001132

Disclaimer

• AstraZeneca abides by the Medicines Australia Code of Conduct (Edition 17) and AstraZeneca Global Policies, and as such will not engage in the promotion of unregistered products or unapproved indications.

• These highlights have been suggested by a group of cardiologists who attended EuroPCR 2014, compiled by an external medical writer and sponsored by AstraZeneca. 

• AstraZeneca has obtained permission from EuroPCR, to utilise the selected content for educational purposes.

• Statements of fact and opinions expressed are those of the speakers individually and, unless expressly stated to the contrary, are not the opinion or position of AstraZeneca. AstraZeneca does not endorse or approve, and assumes no responsibility for, the content, accuracy, or completeness of the information presented.  Presentations are intended for educational purposes only and do not replace independent professional judgement.

• Please refer to the appropriate approved Product Information before prescribing any agents mentioned in these highlights.

AstraZeneca Pty Ltd, Alma Road, North Ryde 2113 ABN: 54 009 682 311

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EuroPCR 2014Paris

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EuroPCR 2014Paris

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Outcomes of cardiogenic shock remain very poor

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EuroPCR 2014Paris

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Benefits of ECMO

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EuroPCR 2014Paris

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EuroPCR 2014Paris

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ECLS = extracorporeal life support

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EuroPCR 2014Paris

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ECLS implementation after in-hospital arrest

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ECLS implementation in hospital after OHCA

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ECLS implementation pre-hospital after OHCA

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EuroPCR 2014Paris

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Similar program commenced in Prague

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• ECMO is under-used as a resuscitation strategy in the cath lab, where it has the potential to save lives

• A cultural shift is required to take advantage of the potential, for example to resuscitate a patient with hypoxia from pulmonary haemorrhage following anticoagulation or pulmonary oedema who otherwise would have a high probability of survival, as well as for patients in cardiogenic shock.

• ECMO is not an especially complex strategy in the hospital environment.

• Pilot studies of on-site ECMO for OHCA have shown it is feasible but requires a very high degree of organisation to ensure it can be implemented rapidly while there is still some hope of successful resuscitation.

Commentary: Professor Andrew Boyle