Pumpless extracorporeal lung assist using an arterio-venous shunt. Applications and limitations

Minerva Anestesiol. 2002 May;68(5):387-91.


We report the use of a pumpless extracorporeal lung assist (PECLA) in 70 patients with severe pulmonary failure of various causes. The device was used under rescue conditions in patients with preserved cardiac function. By establishing a shunt between femoral artery and vein using the arterio-venous pressure gradient as the driving force for the blood flow through the oxygenator, PECLA proved to be extremely effective in terms of oxygenation and carbon dioxide removal.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Arteriovenous Shunt, Surgical / methods*
  • Extracorporeal Membrane Oxygenation / instrumentation*
  • Extracorporeal Membrane Oxygenation / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Positive-Pressure Respiration
  • Respiratory Distress Syndrome / therapy
  • Respiratory Insufficiency / therapy*