We typically do a “bridge trial” with multiple (up to 6) cycles on and off of ECMO using PA cath and echo to assess tolerance. Sometimes patients don’t un ravel until the 5th or 6 cycle which prompts re thinking exit strategy, optimize volume/inotrope, and consider other right sided temp MCS
January 31, 2025 at 3:06 AM
We typically do a “bridge trial” with multiple (up to 6) cycles on and off of ECMO using PA cath and echo to assess tolerance. Sometimes patients don’t un ravel until the 5th or 6 cycle which prompts re thinking exit strategy, optimize volume/inotrope, and consider other right sided temp MCS
That would be awesome thank you
November 28, 2024 at 2:23 PM
That would be awesome thank you
Great paper on IABP “super responders” - typically acute on chronic HFrEF with high SVR and some degree of MR pubmed.ncbi.nlm.nih.gov/33723089/
Predictors of Hemodynamic Response to Intra-Aortic Balloon Pump Therapy in Patients With Acute Decompensated Heart Failure and Cardiogenic Shock - PubMed
A subset of chronic systolic HF patients had robust hemodynamic response to IABP with significant CO augmentation and MPAP reduction. Higher SVR and moderate-severe mitral regurgitation predicted earl...
pubmed.ncbi.nlm.nih.gov
November 28, 2024 at 2:51 AM
Great paper on IABP “super responders” - typically acute on chronic HFrEF with high SVR and some degree of MR pubmed.ncbi.nlm.nih.gov/33723089/