Short-term mechanical support by veno-arterial extracorporeal membrane oxygenation (VA ECMO) is more and more applied in patients with severe cardiogenic shock. A major shortcoming of VA ECMO is its variable, but inherent increase of left ventricular (LV) mechanical load, which may aggravate pulmonary edema and hamper cardiac recovery. In order to mitigate these negative sequelae of VA ECMO, different adjunct LV unloading interventions have gained a broad interest in recent years. Here, we review the whole spectrum of percutaneous and surgical techniques combined with VA ECMO reported to date.
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机译：严重的心源性休克患者越来越多地采用静脉动脉体外膜氧合（VA ECMO）进行短期机械支持。 VA ECMO的主要缺点是其可变性，但固有的左心室（LV）机械负荷增加，可能加重肺水肿并妨碍心脏恢复。为了减轻VA ECMO的这些负面影响，近年来，不同的辅助性LV卸载干预措施引起了广泛关注。在这里，我们回顾了迄今为止报道的与VA ECMO结合的经皮和外科技术的整个范围。
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