Ambulatory extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation

Suresh Keshavamurthy; Vanessa Bazan; Thomas Andrew Tribble; Maher Afif Baz; Joseph Bertram Zwischenberger

doi:10.1007/s12055-021-01210-4

Ambulatory extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation

Indian J Thorac Cardiovasc Surg. 2021 Sep;37(Suppl 3):366-379. doi: 10.1007/s12055-021-01210-4. Epub 2021 Sep 1.

Authors

Suresh Keshavamurthy¹, Vanessa Bazan², Thomas Andrew Tribble³, Maher Afif Baz¹, Joseph Bertram Zwischenberger¹

Affiliations

¹ Department of Surgery, Division of Cardiothoracic Surgery, University of Kentucky College of Medicine, 740 S. Limestone, A-301, Lexington, KY 40536 USA.
² University of Kentucky College of Medicine, William R. Willard Medical Education Building, MN 150, Lexington, KY 40536 USA.
³ Mechanical Circulatory Support Coordinator, MCS Department, Gill Heart & Vascular Institute, 1000 S. Limestone Pav A.08.273, Lexington, KY 40536 USA.

Abstract

Ambulatory extracorporeal membrane oxygenation (ECMO) has shown promise as a bridge to lung transplantation. The primary goal of ambulatory ECMO is to provide enough gas exchange to allow patients to participate in preoperative physical therapy. Various strategies of ambulatory ECMO are utilized depending upon patients' need. A wide spectrum of ECMO configurations is available to tackle this situation. We discuss those configurations in this article.

Keywords: Ambulatory ECMO; Bridge to lung transplantation; VA ECMO; VV ECMO.

Publication types

Review