[COVID-19 and mechanical circulatory support].
COVID-19 et assistance circulatoire.
Acute respiratory distress syndrome
Anticoagulation
COVID-19
Coagulopathie
ECMO
Embolie pulmonaire
Extracorporeal membrane oxygenation
Fulminant myocarditis
Massive pulmonary embolism
Myocardite fulminante
SDRA
Journal
Annales de cardiologie et d'angeiologie
ISSN: 1768-3181
Titre abrégé: Ann Cardiol Angeiol (Paris)
Pays: France
ID NLM: 0142167
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
28
09
2020
accepted:
04
10
2020
pubmed:
24
10
2020
medline:
18
12
2020
entrez:
23
10
2020
Statut:
ppublish
Résumé
Extracorporeal membrane oxygenation (ECMO) is mainly used as a rescue therapy in COVID-19 patients with severe acute respiratory distress syndrome (ARDS). More rarely, COVID-19 can be complicated by hemodynamic failure due to fulminant myocarditis or massive pulmonary embolism necessitating the implantation of venous-arterial ECMO. The management of ECMO during the COVID-19 pandemic is challenging due to some specificities related to the disease characteristics, such as the management of anticoagulation in patients with a hypercoagulable state and an increased risk of venous thromboembolism. In large retrospective cohorts, survival of ECMO-rescued COVID-19 patients with ADRS was reported to be similar to that reported in previous studies on ECMO support for severe ARDS. Full consideration of ECMO candidacy is crucial for appropriate allocation of resources.
Identifiants
pubmed: 33092785
pii: S0003-3928(20)30156-6
doi: 10.1016/j.ancard.2020.10.004
pmc: PMC7543685
pii:
doi:
Types de publication
Journal Article
Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
360-364Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.
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