Extracorporeal membrane oxygenation using the TandemHeart System's catheters

Abstract

We describe the initial--and successful--use of the TandemHeart System's catheters to provide extracorporeal membrane oxygenation (ECMO), in 2 patients. In 1 patient, who was experiencing severe primary respiratory failure, the catheters provided a standard venovenous ECMO circuit. In the other patient, who had severe, acute pulmonary hypertension and right-heart failure, the catheters enabled a novel right atrial-to-left atrial circuit for ECMO. We discuss the potential of the TandemHeart System's catheters to provide novel and possibly superior vascular routes for the delivery of ECMO in different types of cardiopulmonary failure.

Keywords: Extracorporeal circulation; extracorporeal membrane oxygenation/instrumentation/methods; heart failure/therapy; heart-assist devices; hemodynamics; methods; pneumonia/complications; respiratory insufficiency/therapy; technology assessment, biomedical; treatment outcome.