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. 2022 Apr 14;13:101–114. doi: 10.1016/j.xjtc.2022.02.039

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© 2022 The Author(s)

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

PMC Copyright notice

A, Algorithm for management of left ventricle (LV) unloading to accompany intraoperative (intra-op) extracorporeal membrane oxygenation (ECMO) insertion post cardiotomy. B, Algorithm for management of LV unloading when ECMO is inserted postoperatively (post-op) or in a non-postcardiotomy setting. Red boxes indicate measures that should be considered in all patients supported by veno-arterial (V-A) ECMO to unload the LV and avoid LV distension and aortic valve dysfunction. Impella CP, 5.0, and 5.5 are from Abiomed; ProtekDuo is from TandemLife/LivaNova; TandemHeart is from LivaNova. IABP, Intra-aortic balloon pump; AV, aortic valve; PCWP, post-capillary wedge pressure; mPAP, mean pulmonary arterial pressure; RSPV, right superior pulmonary vein; PA, pulmonary artery; LA, left atria.

A, Algorithm for management of left ventricle (LV) unloading to accompany intraoperative (intra-op) extracorporeal membrane oxygenation (ECMO) insertion post cardiotomy. B, Algorithm for management of LV unloading when ECMO is inserted postoperatively (post-op) or in a non-postcardiotomy setting. Red boxes indicate measures that should be considered in all patients supported by veno-arterial (V-A) ECMO to unload the LV and avoid LV distension and aortic valve dysfunction. Impella CP, 5.0, and 5.5 are from Abiomed; ProtekDuo is from TandemLife/LivaNova; TandemHeart is from LivaNova. IABP, Intra-aortic balloon pump; AV, aortic valve; PCWP, post-capillary wedge pressure; mPAP, mean pulmonary arterial pressure; RSPV, right superior pulmonary vein; PA, pulmonary artery; LA, left atria.