Thread by @SRAnesthesiaICU

Inoperable patients can now be offered a potentially curative surgery.

🔗 Read @annalsthorsurg: pubmed.ncbi.nlm.nih.gov/34111383/ and the thread 👇 #FOAMcc #FOAMecmo

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Here we report the 1st case of intraoperative use of VA-#ECMO in a patient with resectable lung cancer and bivasal critical coronary artery disease with prohibitive low EF (23%), and describe the benefits of this new indication.

🔗 pubmed.ncbi.nlm.nih.gov/34111383/ #FOAMcc #FOAMecmo

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Cardiovascular comorbidities often prevent patients with otherwise resectable early-stage lung cancer from undergoing surgery due to prohibitive peri-operative risk.

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Providing intra-operative cardiovascular and respiratory function support, VA-ECMO represents a suitable option for patients with heart failure, ensuring adequate hemodynamic profile and reducing the risk of complications. #FOAMecmo

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In high volume centers with large experience in mechanical circulatory supports, radical surgery for cancer should not be excluded in patients with high cardiac risk. #FOAMecmo

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Notably, we previously electively implanted (and published) 121 patients with VA-ECMO in our institute before arrhythmologic procedures. #FOAMecmo

🔗 pubmed.ncbi.nlm.nih.gov/33487532/

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We also previously anticipated the possibility of short ECMO runs (associated with limited complications) in non-cardiac elective procedures in patients at high risk for perioperative cardiac or respiratory complications. #FOAMecmo

🔗 pubmed.ncbi.nlm.nih.gov/29709436/

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