Chapters 11–18. Circulatory support: the interaction between a failing ventricle and a retrograde arterial circuit.
# | Chapter | Core question it answers |
11 | Indications and Patient Selection | Which shock phenotype benefits from VA support? |
12 | VA ECMO Cannulation | Peripheral or central — and what does each cost the patient? |
13 | VA ECMO Haemodynamics | How does retrograde flow change preload, afterload and coronary supply? |
14 | Initial VA ECMO Management | Flow, MAP, pulsatility, inotrope — what are the first targets? |
15 | LV Distension and LV Unloading | Is the ventricle ejecting, and if not, how do I decompress it? |
16 | Differential Hypoxaemia / Harlequin Syndrome | Why is the right hand desaturated while the circuit looks perfect? |
17 | Limb Ischaemia and Vascular Complications | How do I recognise and prevent the leg being lost? |
18 | VA ECMO Weaning and Decannulation | Has myocardial recovery actually occurred? |