The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 3 , Pages 558-563.e2 , September 2010

Single double-lumen venous–venous pump-driven extracorporeal lung membrane support

Read at the Eighty-ninth Annual Meeting of The American Association for Thoracic Surgery, Boston, Mass, May 9–13, 2009.

  • David Sanchez-Lorente, MD

      Affiliations

    • General Thoracic Surgical Experimental Laboratory, Hospital Clínic, University of Barcelona, Barcelona, Spain
    • ,
  • Tetsuhiko Go, MD

      Affiliations

    • General Thoracic Surgical Experimental Laboratory, Hospital Clínic, University of Barcelona, Barcelona, Spain
    • ,
  • Philipp Jungebluth, MD

      Affiliations

    • General Thoracic Surgical Experimental Laboratory, Hospital Clínic, University of Barcelona, Barcelona, Spain
    • ,
  • Irene Rovira, MD

      Affiliations

    • Department of Aneshesiology, Hospital Clínic, University of Barcelona, Barcelona, Spain
    • ,
  • Maite Mata, RN

      Affiliations

    • General Thoracic Surgical Experimental Laboratory, Hospital Clínic, University of Barcelona, Barcelona, Spain
    • ,
  • Maria Carme Ayats, RN

      Affiliations

    • General Thoracic Surgical Experimental Laboratory, Hospital Clínic, University of Barcelona, Barcelona, Spain
    • ,
  • Paolo Macchiarini, MD, PhD

      Affiliations

    • General Thoracic Surgical Experimental Laboratory, Hospital Clínic, University of Barcelona, Barcelona, Spain
    • Fundació Clínic, Barcelona, Spain
    • Institut d'Investigacions Biomèdiques Augut Pi i Sunyer (IDIBAPS), Barcelona, Spain
    • Corresponding Author InformationAddress for reprints: Paolo Macchiarini, MD, PhD, Department of General and Regenerative Surgery and Intrathoracic Biotransplantation, University Hospital Careggi, Largo Brambilla 3, I-50139 Florence, Italy.

Received 22 May 2009 ,Revised 8 November 2009 ,Accepted 12 December 2009.

References 

  1. The Acute Respiratory Distress Syndrome Network: ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342:1301–1308
  2. Conrad SA, Zwischenberger JB, Grier LR, Alpard SK, Bidani A. Total extracorporeal arteriovenous carbon dioxide removal in acute respiratory failure: a phase I clinical study. Intensive Care Med. 2001;27:1340–1351
  3. Alpard SK, Zwischenberger JB, Tao W, Deyo DJ, Bidani A. Reduced ventilator pressure and improved P/F ratio during percutaneous arteriovenous carbon dioxide removal for severe respiratory failure. Ann Surg. 1999;230:215–224
  4. Iglesias M, Martinez E, Badia JR, Macchiarini P. Extrapulmonary ventilation for unresponsive severe acute respiratory distress syndrome after pulmonary resection. Ann Thorac Surg. 2008;85:237–244
  5. Iglesias M, Jungebluth P, Albado I, et al. Experimental safety and efficacy evaluation of an extracorporeal pumpless artificial lung in providing respiratory support through the axillary vessels. J Thorac Cardiovasc Surg. 2007;133:339–345
  6. Fischer S, Simon AR, Welte T, et al. Bridge to lung transplantation with the novel pumpless interventional lung assist device NovaLung. J Thorac Cardiovasc Surg. 2006;131:719–723
  7. De Robertis F, Birks EJ, Rogers P, Dreyfus G, Pepper JR, Khaghani A. Clinical performance with the Levitronix Centrimag short-term ventricular assist device. J Heart Lung Transplant. 2006;25:181–186
  8. Kopp R, Dembinski R, Kuhlen R. Role of extracorporeal lung assist in the treatment of acute respiratory failure. Minerva Anestesiol. 2006;72:587–595
  9. Mols G, Loop T, Geiger K, Farthmann E, Benzing A. Extracorporeal membrane oxygenation: a ten-year experience. Am J Surg. 2000;180:144–154
  10. Hemmila MR, Rowe SA, Boules TN, et al. Extracorporeal life support for severe acute respiratory distress syndrome in adults. Ann Surg. 2004;240:595–607
  11. Alpard SK, Zwischenberger JB. Extracorporeal membrane oxygenation for severe respiratory failure. Chest Surg Clin North Am. 2002;12:355–378
  12. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342:1301–1308
  13. Reng M, Philipp A, Kaiser M, Pfeifer M, Gruene S, Schoelmerich J. Pumpless extracorporeal lung assist and adult respiratory distress syndrome. Lancet. 2000;356:219–220
  14. Matthais G. New technologies for respiratory support. Perfusion. 2003;18:245–251
  15. Iglesias M, Martinez E, Badia JR, Macchiarini P. Extrapulmonary ventilation for unresponsive severe acute respiratory distress syndrome after pulmonary resection. Ann Thorac Surg. 2008;85:237–244
  16. Wang D, Lick SD, Campbell KM, et al. Development of ambulatory arterio-venous carbon dioxide removal (AVCO2): the downsized gas exchanger prototype for ambulation removes enough CO2 with lox blood resistance. ASAIO J. 2005;51:385–389
  17. Go T, Altmayer M, Richter M, Macchiarini P. Decompresssing manubriectomy under apneic oxygenation to release the median thoracic outlet compartment in Bechterex disease. J Thorac Cardiovasc Surg. 2003;126:867–869
  18. Müller T, Lubnow M, Philipp A, et al. Extracorporeal pumpless interventional lung assist in clinical practice: determinants of efficacy. Eur Respir J. 2009;33:551–558
  19. Haley MJ, Fisher JC, Ruiz-Elizalde AR, et al. Percutaneous distal perfusion of the lower extremity after femoral cannulation for venoarterial extracorporeal membrane oxygenation in a small child. J Pediatr Surg. 2009;44:437–440

 Disclosures: None.

PII: S0022-5223(10)00551-9

doi: 10.1016/j.jtcvs.2009.12.057

The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 3 , Pages 558-563.e2 , September 2010

Article Tools

* Image Usage & Resolution