Objective: Right-sided heart failure develops in lung transplantation candidates on prolonged peripheral extracorporeal membrane oxygenation support and is a major determinant of mortality. The use of central venoarterial extracorporeal membrane oxygenation for bridging of right-sided heart failure to lung transplantation was evaluated.
Design: Retrospective case series and literature review.
Setting: A single tertiary care university hospital.
Participants: The study comprised lung transplantation candidates on extracorporeal membrane oxygenation bridging who developed right-sided heart failure.
Interventions: Central venoarterial extracorporeal membrane oxygenation.
Measurements and main results: Of 6 patients who underwent the study protocol, 3 were bridged successfully to lung transplantation and 1 was bridged to recovery.
Conclusions: The study demonstrates that central extracorporeal membrane oxygenation may be a feasible option for bridging of right-sided heart failure to lung transplantation.
Keywords: cannulation; extracorporeal membrane oxygenation; lung transplantation; right-sided heart failure.
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