Percutaneous extracorporeal membrane oxygenation in electrical storm: five case reports addressing efficacy, transferring allowance or radiofrequency ablation support

Eur Heart J Acute Cardiovasc Care. 2018 Aug;7(5):484-489. doi: 10.1177/2048872617730036. Epub 2017 Sep 7.

Abstract

Extracorporeal membrane oxygenation systems have undergone rapid technological improvements and are now feasible options for medium-term support of severe cardiac or pulmonary failure. We report five cases of electrical storm that was rescued by the insertion of peripheral veno-arterial extracorporeal membrane oxygenation systems. This device could help to restore systemic circulation as well as permitting organ perfusion in patients with cardiogenic shock in relation to electrical storm thus achieving greater electrical stability. Also, in some cases extracorporeal membrane oxygenation support could facilitate electrophysiology study.

Keywords: ECMO; cardiogenic shock; familial dilated cardiomyopathy; heart failure; pulmonary oedema; ventricular tachycardia.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Body Surface Potential Mapping / methods*
  • Cardiomyopathy, Dilated / diagnosis
  • Cardiomyopathy, Dilated / physiopathology
  • Cardiomyopathy, Dilated / surgery*
  • Catheter Ablation / methods*
  • Heart Conduction System / physiopathology*
  • Heart Conduction System / surgery
  • Humans
  • Male
  • Middle Aged
  • Tachycardia, Ventricular / diagnosis
  • Tachycardia, Ventricular / physiopathology
  • Tachycardia, Ventricular / therapy*
  • Treatment Outcome