ECMO for High-Risk Procedures

Mar 27, 2017 by in CARDIOLOGY Comments Off on ECMO for High-Risk Procedures

Fig. 13.1 Percutaneous femoral cannulation with Preclose technique using PerClose Proglide vascular closure device (Abbott Vascular, Redwood City, CA, USA) The main disadvantage of ECMO over full cardiopulmonary bypass is…

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ECMO in Myocarditis and Rare Cardiomyopathies

Mar 27, 2017 by in CARDIOLOGY Comments Off on ECMO in Myocarditis and Rare Cardiomyopathies

Infectious causes Tests and clues Viral Adenovirus, Coxsackie A and B, echoviruses, parvovirus B19, influenza A and B, herpes simplex, Epstein-Barr, cytomegalovirus, varicella zoster, respiratory syncytial virus, HIV, hepatitis B…

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ECMO for Postcardiotomic Shock

Mar 27, 2017 by in CARDIOLOGY Comments Off on ECMO for Postcardiotomic Shock

18. Seib PM, Faulkner SC, Erickson CC et al (1999) Blade and balloon atrial septostomy for left heart decompression in patients with severe ventricular dysfunction on extracorporeal membrane oxygenation. Catheter…

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ECMO for Refractory Cardiac Arrest

Mar 27, 2017 by in CARDIOLOGY Comments Off on ECMO for Refractory Cardiac Arrest

Fig. 10.1 Monza’s flow chart for ECMO support in refractory CA We must emphasize that this flow chart only represents a recommendation, since it is the attending physician’s responsibility to…

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ECMO for Ischemic Cardiogenic Shock

Mar 27, 2017 by in CARDIOLOGY Comments Off on ECMO for Ischemic Cardiogenic Shock

Hemodynamic criteria Systolic blood pressure (SBP) below 90 mmHg (or more than 30 mmHg below basal in hypertensive patients) for more than 30 min Use of vasopressors and inotropes to…

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CMD in Myocardial Diseases

Mar 27, 2017 by in CARDIOLOGY Comments Off on CMD in Myocardial Diseases

Fig. 5.1 Typical asymmetric LVH, which dramatically involves the interventricular septum, in a patients with HCM deceased due to sudden death. Adapted from Cecchi et al. [15] Many patients with HCM…

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CMD in Obstructive CAD

Mar 27, 2017 by in CARDIOLOGY Comments Off on CMD in Obstructive CAD

Fig. 6.1 Left panel: total occlusion of the left anterior descending (LAD) coronary artery which is completely reperfused by collateral vessels from the right coronary artery (RCA) in a patient with…

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Treatment of Primary CMD

Mar 27, 2017 by in CARDIOLOGY Comments Off on Treatment of Primary CMD

Fig. 8.1 Effect of olmesartan and amlodipine on CFR in patients with arterial hypertension. Adapted from Naya et al. [10] The favorable effects of antihypertensive drugs on CMD, therefore, likely mainly…

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Iatrogenic Coronary Microvascular Dysfunction

Mar 27, 2017 by in CARDIOLOGY Comments Off on Iatrogenic Coronary Microvascular Dysfunction

Fig. 7.1 Top panel. Left: pre-procedural angiogram of the right coronary artery showing a 60–70 % mid-vessel stenosis; middle: Intravascular ultrasound (IVUS) examination (4 slices taken at 1-mm distance in the middle…

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Treatment of CMD in Obstructive CAD

Mar 27, 2017 by in CARDIOLOGY Comments Off on Treatment of CMD in Obstructive CAD

Fig. 10.1 Therapeutic interventions potentially able to promote collateral vessel growth. Adapted from Chillian et al. [1] Gene therapy initially appeared as the most applicable and potentially valid form of therapy…

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