The Role of Echocardiography in Extracorporeal Membrane Oxygenation.
Publication/Presentation Date
1-1-2023
Abstract
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.
Volume
25
Issue
1
First Page
9
Last Page
16
ISSN
1534-3170
Published In/Presented At
Hockstein, M. A., Singam, N. S., Papolos, A. I., & Kenigsberg, B. B. (2023). The Role of Echocardiography in Extracorporeal Membrane Oxygenation. Current cardiology reports, 25(1), 9–16. https://doi.org/10.1007/s11886-022-01827-w
PubMedID
36571660
Department(s)
Department of Medicine
Document Type
Article