{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T09:21:48Z","timestamp":1768036908752,"version":"3.49.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:00:00Z","timestamp":1610668800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients with severe aortic stenosis (AS) often present with multiple comorbidities and suffer from critical coronary artery disease (CAD). Transcatheter aortic valve replacement (TAVR) has become the therapy of choice for moderate to high-risk patients. Venoarterial extracorporeal membrane oxygenation (v-a-ECMO) offers the possibility of temporary cardiac support to manage life-threatening critical situations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case summary<\/jats:title><jats:p>Here, we describe the management of a patient with severe AS and CAD with impaired left ventricular ejection fraction (LVEF). We used v-a-ECMO as an emergency strategy in cardiogenic shock during a high-risk coronary intervention to stabilize the patient, and as a further bridge to TAVR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Very high-risk patients with severe AS are unlikely to tolerate the added risk of surgical aortic valve replacement. Using ECMO may help them to benefit from TAVR as the only treatment option available.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa567","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T11:44:52Z","timestamp":1610711092000},"source":"Crossref","is-referenced-by-count":4,"title":["Use of extracorporeal membrane oxygenation as a bridge to transcatheter aortic valve replacement in a patient with aortic stenosis and severe coronary artery disease: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7879-7601","authenticated-orcid":false,"given":"Majid","family":"Ahsan","sequence":"first","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147 Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9966-6886","authenticated-orcid":false,"given":"Rolf Alexander","family":"J\u00e1nosi","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147 Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8001-0265","authenticated-orcid":false,"given":"Tienush","family":"Rassaf","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147 Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9122-797X","authenticated-orcid":false,"given":"Alexander","family":"Lind","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147 Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,1,15]]},"reference":[{"key":"2021062103192460700_ytaa567-B1","doi-asserted-by":"crossref","first-page":"1597","DOI":"10.1056\/NEJMoa1008232","article-title":"Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery","volume":"363","author":"Leon","year":"2010","journal-title":"N Engl J Med"},{"key":"2021062103192460700_ytaa567-B2","doi-asserted-by":"crossref","first-page":"E542","DOI":"10.1002\/ccd.24806","article-title":"Emergency and prophylactic use of miniaturized veno-arterial extracorporeal membrane oxygenation in transcatheter aortic valve implantation","volume":"82","author":"Husser","year":"2013","journal-title":"Catheter Cardiovasc Interv"},{"key":"2021062103192460700_ytaa567-B3","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1002\/ccd.27385","article-title":"Emergency extracorporeal membrane oxygenation in transcatheter aortic valve implantation: a two-center experience of incidence, outcome and temporal trends from 2010 to 2015","volume":"92","author":"Trenkwalder","year":"2018","journal-title":"Catheter Cardiovasc Interv"},{"key":"2021062103192460700_ytaa567-B4","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1055\/s-0036-1572512","article-title":"Catheter insertion via extracorporeal membrane oxygenation cannula during transcatheter aortic valve implantation","volume":"05","author":"Kuhn","year":"2016","journal-title":"Thorac Cardiovasc Surg Rep"},{"key":"2021062103192460700_ytaa567-B5","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.repc.2012.12.011","article-title":"Severe aortic stenosis and cardiogenic shock: a therapeutic challenge","volume":"32","author":"Caetano","year":"2013","journal-title":"Rev Port Cardiol"},{"key":"2021062103192460700_ytaa567-B6","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1177\/0267659118816555","article-title":"In-hospital outcomes after emergency or prophylactic veno-arterial extracorporeal membrane oxygenation during transcatheter aortic valve implantation: a comprehensive review of the literature","volume":"34","author":"Raffa","year":"2019","journal-title":"Perfusion"},{"key":"2021062103192460700_ytaa567-B7","doi-asserted-by":"crossref","first-page":"e11900","DOI":"10.1097\/MD.0000000000011900","article-title":"Aortic stenosis complicated by cardiogenic shock treated by transcatheter aortic valve replacement with extracorporeal membrane oxygenation: a case report","volume":"97","author":"Huang","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"2021062103192460700_ytaa567-B8","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1007\/s00392-016-1070-1","article-title":"Trends in aortic valve replacement in Germany in 2015: transcatheter versus isolated surgical aortic valve repair","volume":"106","author":"Gaede","year":"2017","journal-title":"Clin Res Cardiol"},{"key":"2021062103192460700_ytaa567-B9","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1016\/j.jcin.2009.07.005","article-title":"Transcatheter aortic valve implantation: review of the nature, management, and avoidance of procedural complications","volume":"2","author":"Masson","year":"2009","journal-title":"JACC Cardiovasc Interv"},{"key":"2021062103192460700_ytaa567-B10","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.hlc.2010.08.015","article-title":"Veno-arterial extracorporeal membrane oxygenation for high-risk cardiac catheterisation procedures","volume":"19","author":"Spina","year":"2010","journal-title":"Heart Lung Circ"},{"key":"2021062103192460700_ytaa567-B11","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.ijcard.2019.07.080","article-title":"Safety and efficacy of a novel algorithm to guide decision-making in high-risk interventional coronary procedures","volume":"299","author":"Al-Rashid","year":"2020","journal-title":"Int J Cardiol"},{"key":"2021062103192460700_ytaa567-B12","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1111\/joic.12323","article-title":"Elective or emergency use of mechanical circulatory support devices during transcatheter aortic valve replacement","volume":"29","author":"Singh","year":"2016","journal-title":"J Interv Cardiol"},{"key":"2021062103192460700_ytaa567-B13","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.hlc.2014.05.006","article-title":"Extracorporeal membrane oxygenation for very high-risk transcatheter aortic valve implantation","volume":"23","author":"Seco","year":"2014","journal-title":"Heart Lung Circ"},{"key":"2021062103192460700_ytaa567-B14","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1002\/ccd.25776","article-title":"Cardiopulmonary bypass and intra-aortic balloon pump use is associated with higher short and long term mortality after transcatheter aortic valve replacement: a PARTNER trial substudy","volume":"86","author":"Shreenivas","year":"2015","journal-title":"Cathet Cardiovasc Intervent"},{"key":"2021062103192460700_ytaa567-B15","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1161\/01.CIR.76.6.1298","article-title":"Combined percutaneous aortic valvuloplasty and transluminal coronary angioplasty in adult patients with calcific aortic stenosis and coronary artery disease","volume":"76","author":"McKay","year":"1987","journal-title":"Circulation"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/1\/ytaa567\/38709964\/ytaa567.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/1\/ytaa567\/38709964\/ytaa567.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T20:19:59Z","timestamp":1697573999000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytaa567\/6101062"}},"subtitle":[],"editor":[{"given":"Mariama","family":"Akodad","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Alice","family":"Wood","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Pierre","family":"Deharo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Carlos Minguito","family":"Carazo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Ross","family":"Thomson","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1,15]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa567","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,1]]},"published":{"date-parts":[[2021,1]]},"article-number":"ytaa567"}}