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Mekanisk kredsløbsstøtte ved hjælp af cirkulationspumpe anlagt gennem vena subclavia hos en patient med akut hjertesvigt

Forfatter(e)
Lars Nikolaj Hansen1, Anja Fabrin2, Marianne Kjær Jensen3, Henrik Schmidt2, Anders Junker3 & Jacob Eifer Møller3 1) Anæstesiologisk Afdeling, Odense Universitetshospital 2) Thoraxkirurgisk Afdeling, Odense Universitetshospital 3) Kardiologisk Afdeling, Odense Universitets-hospital Ugeskr Læger 2014;176:V05140278
Reference: 
Ugeskr Læger 2014;176:V05140278
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Sidetal: 
2-3
Mechanical circulatory support by means of a subclavian pump in a patient suffering acute heart failure
A 65-year-old female patient suffered biventricular failure due to severe lymphoid myocarditis. Mechanical circulatory support was established with peripheral arterial-venous extracorporeal membrane oxygenation (AV-ECMO). The left ventricle was relieved by subclavian Impella 5.0. AV-ECMO was weaned with the use of only Impella 5.0 until the 17th day of use, whereupon Impella was phased out. This case report illustrates the use­fulness of combined peripheral VA-ECMO with subclavian Impella 5.0 with the prospect of single use of the subclavian Impella 5.0 until cardiac recovery thereby avoiding central cannulation.
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