{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:01:40Z","timestamp":1747184500526,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A patient with heart failure due to nonischemic cardiomyopathy presented as a transfer to our institution following peripheral (femoral) venoarterial (VA) extracorporeal membrane oxygenation (ECMO) placement. With peripheral VA ECMO cannulation, the patient continued to have unstable ventricular tachyarrhythmias. Echocardiography demonstrated left ventricular (LV) dilation and severe mitral regurgitation (MR) with clinical and chest X\u2010ray evidence of pulmonary edema. To provide venous drainage and simultaneous decompression of the left atrium (LA) and thereby indirect LV venting, a single multistage venous cannula was placed across the inter\u2010atrial septum (IAS) using the previously described left atrial venoarterial (LA\u2010VA) ECMO cannulation technique. Two\u2010 and three\u2010dimensional (3D) transesophageal echocardiography (TEE) demonstrated utility in guiding cannula placement into the appropriate position and providing real time assessment of ventricular decompression and MR severity. There was subsequent improvement in pulmonary edema. This case is thought to be the first demonstration of real time resolution of pulmonary venous flow reversal in a patient undergoing LA\u2010VA ECMO cannulation. This demonstration offers important mechanistic insight into some of the potential benefits of such an approach.<\/jats:p>","DOI":"10.1111\/echo.14990","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T07:17:40Z","timestamp":1614064660000},"page":"493-499","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Utility of transesophageal echocardiography to assess real time left atrial pressure changes and dynamic mitral regurgitation following placement of transseptal multistage venous cannula for systemic venous drainage and indirect left ventricular venting in venoarterial extracorporeal membrane oxygenation"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8207-6046","authenticated-orcid":false,"given":"Jacob Bradley","family":"Meers","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine Division of Cardiothoracic Anesthesiology University of Alabama at Birmingham School of Medicine  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navin C.","family":"Nanda","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiovascular Disease University of Alabama at Birmingham School of Medicine  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Thomas Evan","family":"Watts","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiovascular Disease University of Alabama at Birmingham School of Medicine  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2152-0235","authenticated-orcid":false,"given":"Shane","family":"Prejean","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiovascular Disease University of Alabama at Birmingham School of Medicine  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles W.","family":"Hoopes","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Cardiothoracic Surgery University of Alabama at Birmingham School of Medicine  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Lenneman","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiovascular Disease University of Alabama at Birmingham School of Medicine  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa I.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiovascular Disease University of Alabama at Birmingham School of Medicine  Birmingham AL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(18)31899-0"},{"key":"e_1_2_6_3_1","unstructured":"WhitesideHL HillersonD CootsRD et al.Safety and efficacy of left atrial veno\u2010arterial (LAVA) extracorporeal membrane oxygenation for the management of cardiogenic shock. Poster presented at: The Society for Cardiovascular Angiography and Interventions (SCAI) 2020 Scientific Sessions; March 14\u201316 2020; Virtual Conference."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/echo.14879"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00126-8"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(92)90247-K"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000475"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.03.29"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt125"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.119.006486"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2020.01.1329"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.14990","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.14990","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.14990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T04:16:44Z","timestamp":1693196204000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.14990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,22]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1111\/echo.14990"],"URL":"https:\/\/doi.org\/10.1111\/echo.14990","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2021,2,22]]},"assertion":[{"value":"2020-11-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}