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Oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation
BACKGROUND: Oxygenated right ventricular assist device (oxyRVAD) placement has become more streamlined with the introduction of the dual-lumen pulmonary artery cannula. Peripherally cannulated oxyRVAD may provide oxygenation support with right heart support as an alternative to venoarterial extracor...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9096291/ https://www.ncbi.nlm.nih.gov/pubmed/35572883 http://dx.doi.org/10.21037/jtd-21-1199 |
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author | Harano, Takashi Chan, Ernest G. Furukawa, Masashi Reck dos Santos, Pedro Morrell, Matthew R. Sappington, Penny L. Sanchez, Pablo G. |
author_facet | Harano, Takashi Chan, Ernest G. Furukawa, Masashi Reck dos Santos, Pedro Morrell, Matthew R. Sappington, Penny L. Sanchez, Pablo G. |
author_sort | Harano, Takashi |
collection | PubMed |
description | BACKGROUND: Oxygenated right ventricular assist device (oxyRVAD) placement has become more streamlined with the introduction of the dual-lumen pulmonary artery cannula. Peripherally cannulated oxyRVAD may provide oxygenation support with right heart support as an alternative to venoarterial extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation. METHODS: A single-institution, retrospective analysis was performed on patients placed on oxyRVAD with a dual-lumen pulmonary artery cannula with the intention of bridging to lung transplantation in 2019. RESULTS: Four patients with idiopathic pulmonary fibrosis were placed on oxyRVAD as a bridge to transplantation. Two patients were extubated and ambulated while waiting for a lung offer, and two patients required conversion to venoarteriovenous ECMO (VAV ECMO) from oxyRVAD. The median waiting time for extracorporeal life support (ECLS) was 42 h. All patients underwent double lung transplantation. Two patients stayed on oxyRVAD, and one patient was placed on venovenous ECMO (VV ECMO) after transplantation. Primary graft dysfunction score at 72 h after transplantation was grade 1 in three patients and grade 3 in one patient. CONCLUSIONS: Peripherally cannulated oxyRVAD with percutaneous dual-lumen venous cannula could be an ambulatory bridge for lung transplantation. It is unknown whether oxyRVAD is feasible as a long-term bridge to lung transplantation. |
format | Online Article Text |
id | pubmed-9096291 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-90962912022-05-13 Oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation Harano, Takashi Chan, Ernest G. Furukawa, Masashi Reck dos Santos, Pedro Morrell, Matthew R. Sappington, Penny L. Sanchez, Pablo G. J Thorac Dis Original Article BACKGROUND: Oxygenated right ventricular assist device (oxyRVAD) placement has become more streamlined with the introduction of the dual-lumen pulmonary artery cannula. Peripherally cannulated oxyRVAD may provide oxygenation support with right heart support as an alternative to venoarterial extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation. METHODS: A single-institution, retrospective analysis was performed on patients placed on oxyRVAD with a dual-lumen pulmonary artery cannula with the intention of bridging to lung transplantation in 2019. RESULTS: Four patients with idiopathic pulmonary fibrosis were placed on oxyRVAD as a bridge to transplantation. Two patients were extubated and ambulated while waiting for a lung offer, and two patients required conversion to venoarteriovenous ECMO (VAV ECMO) from oxyRVAD. The median waiting time for extracorporeal life support (ECLS) was 42 h. All patients underwent double lung transplantation. Two patients stayed on oxyRVAD, and one patient was placed on venovenous ECMO (VV ECMO) after transplantation. Primary graft dysfunction score at 72 h after transplantation was grade 1 in three patients and grade 3 in one patient. CONCLUSIONS: Peripherally cannulated oxyRVAD with percutaneous dual-lumen venous cannula could be an ambulatory bridge for lung transplantation. It is unknown whether oxyRVAD is feasible as a long-term bridge to lung transplantation. AME Publishing Company 2022-04 /pmc/articles/PMC9096291/ /pubmed/35572883 http://dx.doi.org/10.21037/jtd-21-1199 Text en 2022 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article Harano, Takashi Chan, Ernest G. Furukawa, Masashi Reck dos Santos, Pedro Morrell, Matthew R. Sappington, Penny L. Sanchez, Pablo G. Oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation |
title | Oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation |
title_full | Oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation |
title_fullStr | Oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation |
title_full_unstemmed | Oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation |
title_short | Oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation |
title_sort | oxygenated right ventricular assist device with a percutaneous dual-lumen cannula as a bridge to lung transplantation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9096291/ https://www.ncbi.nlm.nih.gov/pubmed/35572883 http://dx.doi.org/10.21037/jtd-21-1199 |
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