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Staged Transition from V-A ECMO to LVAD Using Extra-VAD in Acute Myocardial Infarction Cardiogenic Shock: Individualized Management

   
@article{ACR12976,
	author = {Lu Tong and Cheng Zhou and Ping Li and Nianguo Dong and Fei Li},
	title = {Staged Transition from V-A ECMO to LVAD Using Extra-VAD in Acute Myocardial Infarction Cardiogenic Shock: Individualized Management},
	journal = {AME Case Reports},
	volume = {0},
	number = {0},
	year = {2026},
	keywords = {},
	abstract = {Acute myocardial infarction(AMI) and cardiogenic shock (CS) in patients requiring veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is life-threatening, with extremely high mortality and complication rates due to hemodynamic instability and multiple organ dysfunction. A durable left ventricular assist device (LVAD) is a viable therapeutic option for these patients with severely impaired cardiac function who have failed attempts to wean from V-A ECMO. Right ventricular failure (RVF) is a significant cause of mortality in patients undergoing LVAD implantation. However, accurate assessment of right heart function during V-A ECMO and the complication rates associated with prolonged V-A ECMO support limit its long-term use. The interventional extracorporeal left ventricular assist device (extra-VAD) enables preoperative assessment by simulating the hemodynamic profile of a permanent LVAD, thereby helping to avoid complications associated with prolonged V-A ECMO support, bridging therapy decision-making and mitigating the risk of postoperative RVF after LVAD.},
	issn = {2523-1995},	url = {https://acr.amegroups.org/article/view/12976}
}