TITLE

Pumpless arteriovenous extracorporeal lung assist: what is its role?

AUTHOR(S)
Grubitzsch, H.; Beholz, S.; Wollert, H-G.; Eckel, L.
PUB. DATE
June 2000
SOURCE
Perfusion;Jun2000, Vol. 15 Issue 3, p237
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Extracorporeal lung assist (ECLA) is an established treatment of severe pulmonary failure. Since extracorporeal perfusion is applied in a long-term fashion in this setting, the negative impact on blood compounds is of tremendous importance. Pumpless arteriovenous ECLA (av-ECLA) is an alternatively introduced technique that focuses on reduced blood traumatization. However, due to determining technical and physiological aspects, its clinical application is limited to a highly selected group of patients. Membrane oxygenators with minimal pressure gradients, as well as stable patients' haemodynamics providing a sufficient cardiac output, are the most important prerequisites. With respect to recent reports, characteristic features of av-ECLA, with special emphasis on its physiological background, are reviewed. Accordingly, reasonable indications for its beneficial use are discussed. It is concluded that av-ECLA is a feasible technique when its limitations are accepted. For adequate clinical use, more data concerning indications, as well as time- and technique-related directions are required.
ACCESSION #
3533769

 

Related Articles

  • Alternatives to arteriovenous fistulas. Corbett, R. W.; Ashby, D. R.; Duncan, N. D. // BMJ: British Medical Journal;12/6/2014, Vol. 349 Issue 7896, pg7249 

    A letter to the editor is presented in response to the article "Management of Arteriovenous Fistulas," by A. Siddiky et al. in the October 30, 2014 issue is presented.

  • Authors’ reply. Gilbert, James; Siddiky, Abul // BMJ: British Medical Journal;12/6/2014, Vol. 349 Issue 7896, pg7252 

    A response from the authors of the article "Management of Arteriovenous Fistulas" in the October 30, 2014 issue is presented.

  • The course of pulmonary arteriovenous malformation after Fontan completion.  // Cardiology in the Young;May2006 Supplement, Vol. 16 Issue S2, p97 

    The article presents the abstract "The Course of Pulmonary Arteriovenous Malformation After Fontan Completion".

  • Errata-Corrige.  // Interventional Neuroradiology;mar2012, Vol. 18 Issue 1, p114 

    A correction to the case study on the transvenous approach to intracranial dural arteriovenous fistula is presented.

  • Massive Gastrointestinal Bleeding Secondary to Superior Mesenteric Arteriovenous Fistula. An, Tianzhi; Zhou, Shi; Song, Jie; Jiang, Tianpeng; Li, Xing; Wang, Weiping // American Journal of Gastroenterology;Oct2013, Vol. 108 Issue 10, p1662 

    A letter to the article related to the superior mesenteric arteriovenous fistula (SMAVF) disorder is presented.

  • AVF Placement Less Likely in Metropolitan Areas.  // Renal & Urology News;Apr2014, Vol. 13 Issue 4, p8 

    The article reports on a study which finds that rates of arteriovenous fistula (AVF) placement in patients approaching hemodialysis in the U.S. are significantly lower in metropolitan than micropolitan areas.

  • Side-to-Side Anastomosis without Vessel Clamp: A Practical Method for Arterio-Venous Fistula. Tan, Önder; Atik, Bekir // European Journal of General Medicine;2010, Vol. 7 Issue 3, p348 

    The radial artery to cephalic vein fistula (radial AVF, Brescia-Cimino, radiocephalic) is the basic technique in arteriovenous fistula construction before hemodialysis and the side to side anastomosis is commonly used between these vessels. The vessel clamps in bulldog and approximater types are...

  • Characterization of neointima lesions associated with arteriovenous fistulas in a mouse model.  // Kidney International;Sep2006, Vol. 70 Issue 6, p1190 

    A correction to the article "Characterization of neointima lesions associated with arteriovenous fistulas in a mouse model," published in Vol. 70 is presented.

  • Salvage of Failed, Mature Fistulae Often Successful.  // Kidney;Sep/Oct98, Vol. 7 Issue 5, p212 

    Discusses the abstract of a study entitled 'Surgical salvage of failed radiocephalic arteriovenous fistulate,' by D.D. Oakes, J.P. Sherck and L.F. Cobb, published in the 1998 issue of 'Kidney International.'

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics