EuroPCR 25th annual meeting of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Paris 20-23 May 2014
Jun 19, 2015
EuroPCR25th annual meeting of the European Association of Percutaneous Cardiovascular Interventions (EAPCI)
Paris20-23 May 2014
EuroPCR 2014Paris
20-23 May 2014
Extracorporeal membrane oxygenation (ECMO) in interventional cardiology
Commentary:
Professor Andrew BoyleJohn Hunter Hospital, Newcastle
Date of preparation May 2014 │BRI001132
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EuroPCR 2014Paris
20-23 May 2014
EuroPCR 2014Paris
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Outcomes of cardiogenic shock remain very poor
EuroPCR 2014Paris
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EuroPCR 2014Paris
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EuroPCR 2014Paris
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Benefits of ECMO
EuroPCR 2014Paris
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EuroPCR 2014Paris
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EuroPCR 2014Paris
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EuroPCR 2014Paris
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EuroPCR 2014Paris
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ECLS = extracorporeal life support
EuroPCR 2014Paris
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EuroPCR 2014Paris
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EuroPCR 2014Paris
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ECLS implementation after in-hospital arrest
EuroPCR 2014Paris
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ECLS implementation in hospital after OHCA
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ECLS implementation pre-hospital after OHCA
EuroPCR 2014Paris
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EuroPCR 2014Paris
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EuroPCR 2014Paris
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Similar program commenced in Prague
EuroPCR 2014Paris
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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