{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:02:14Z","timestamp":1753876934716,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T00:00:00Z","timestamp":1702425600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/www.nationalarchives.gov.uk\/doc\/open-government-licence\/version\/3\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The combination of the Impella and peripheral venoarterial extracorporeal membrane oxygenation (Ecmella) is a promising treatment for critically ill patients. We report a single-access Ecmella approach using the brachiocephalic artery. A 65-year-old woman with acute myocardial infarction involving the left main coronary artery underwent intra-aortic balloon pump and peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) placement. Given the progression of pulmonary congestion and lower limb ischaemia, and an axillary artery diameter of 4.9\u2009mm, we decided to perform a single Ecmella approach. A Y-shaped 9-mm Dacron woven graft was anastomosed to the brachiocephalic artery through a reverse T-shaped partial sternotomy. The Impella 5.5 and arterial cannula of VA-ECMO were introduced through each graft. Six days after, VA-ECMO was removed. Sixty-two days after the surgery, the patient received durable left ventricle assist device implantation. In conclusion, haemodynamic support using a single-access Ecmella through brachiocephalic artery allows for managing patients with narrow peripheral arteries.<\/jats:p>","DOI":"10.1093\/icvts\/ivad201","type":"journal-article","created":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:42:54Z","timestamp":1702514574000},"source":"Crossref","is-referenced-by-count":0,"title":["Single-vessel access venoarterial extracorporeal membrane oxygenation and Impella technique for acute cardiogenic shock complicated by lung congestion"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4658-852X","authenticated-orcid":false,"given":"Naoki","family":"Tadokoro","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center , Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3410-859X","authenticated-orcid":false,"given":"Kohei","family":"Tonai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center , Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Kainuma","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center , Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9481-8860","authenticated-orcid":false,"given":"Satsuki","family":"Fukushima","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center , Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,12,13]]},"reference":[{"key":"2024091113264729800_ivad201-B1","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s12265-018-9820-2","article-title":"Mechanical unloading by fulminant myocarditis: LV-IMPELLA, ECMELLA, BI-PELLA, and PROPELLA concepts","volume":"12","author":"Tsch\u00f6pe","year":"2019","journal-title":"J Cardiovasc Transl Res"},{"key":"2024091113264729800_ivad201-B2","doi-asserted-by":"crossref","first-page":"23","DOI":"10.36628\/ijhf.2019.0015","article-title":"Mechanical circulatory support for acute heart failure complicated by cardiogenic shock","volume":"2","author":"Choi","year":"2020","journal-title":"Int J Heart Fail"},{"key":"2024091113264729800_ivad201-B3","doi-asserted-by":"crossref","first-page":"97","DOI":"10.4103\/aca.aca_176_21","article-title":"Management of harlequin syndrome under ECPELLA support: a report of two cases and a proposed approach","volume":"26","author":"Giunta","year":"2023","journal-title":"Ann Card Anaesth"},{"key":"2024091113264729800_ivad201-B4","doi-asserted-by":"crossref","first-page":"2003","DOI":"10.1002\/ehf2.13862","article-title":"Single arterial access for Ecpella and jugular venous cannulation provides full mobility on a status 1 heart transplant recipient","volume":"9","author":"Bitargil","year":"2022","journal-title":"ESC Heart Fail"},{"key":"2024091113264729800_ivad201-B5","doi-asserted-by":"crossref","first-page":"e135","DOI":"10.1016\/j.athoracsur.2020.06.084","article-title":"ECMELLA 2.0: single arterial access technique for a staged approach in cardiogenic shock","volume":"111","author":"Eulert-Grehn","year":"2021","journal-title":"Ann Thorac Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivad201\/54408178\/ivad201.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/37\/6\/ivad201\/59085019\/ivad201.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/37\/6\/ivad201\/59085019\/ivad201.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T22:26:47Z","timestamp":1726093607000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivad201\/7471883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12,5]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivad201","relation":{},"ISSN":["2753-670X"],"issn-type":[{"type":"electronic","value":"2753-670X"}],"subject":[],"published-other":{"date-parts":[[2023,12]]},"published":{"date-parts":[[2023,12]]},"article-number":"ivad201"}}