{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:39:36Z","timestamp":1791203976588,"version":"4.2.0"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2016,10,14]],"date-time":"2016-10-14T00:00:00Z","timestamp":1476403200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Heart Journal: Acute Cardiovascular Care"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Transcatheter techniques are emerging for left atrial (LA) decompression under venoarterial extracorporeal membrane oxygenation (VA-ECMO). We aimed to assess whether balloon atrioseptostomy (BAS) is a safe and efficient strategy. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> All patients who underwent percutaneous static BAS under VA-ECMO at four tertiary institutions were retrospectively reviewed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> From 2000 to 2014, BAS was performed in 64 patients (32 adults and 32 children). Indications for ECMO support included acute myocarditis (31.3%) and non-myocarditis cardiac disease, mostly end-stage dilated cardiomyopathy (32.8%). BAS was required because of pulmonary oedema\/haemorrhage and left ventricular (LV) distension. The mean balloon diameter was 21.8\u2009\u00b1\u20098.4mm. Adequate LA decompression was achieved in all patients. Mean LA pressure fell from 24.2\u2009\u00b1\u20096.9\u2009mmHg to 7.8\u2009\u00b1\u20092.6\u2009mmHg ( p\u2009&lt;\u20090.001). The left-to-right atrial pressure gradient fell from 17.2\u2009\u00b1\u20097.1\u2009mmHg to 0.09\u2009\u00b1\u20090.5\u2009mmHg ( p\u2009&lt;\u20090.001). Echocardiography showed an unrestrictive left-to-right atrial shunting in all patients. Improvement of day\u20091 chest X-ray was observed in 76.6% of patients, clinical status in 98.4% of patients and pulmonary haemorrhage in 14 out of 14 patients. Complications occurred in 9.4% of patients, representing pericardial effusion, fast atrial fibrillation, ventricular fibrillation requiring defibrillation, transient complete heart block and femoral venous dissection requiring covered stent placement. In the 37 (57.8%) patients who were successfully decannulated, the median ECMO duration was 9 (range: 4\u201324) days. After a median follow-up of 12.3 (range: 0.1\u2013142) months, 35.9% patients died, 17.2% received a LV assist device as a bridge to transplantation, 31.2% were transplanted and 56.2% were home discharged and alive. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Percutaneous BAS may be a safe and efficient strategy for discharging the LA in both adults and children supported by VA-ECMO. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2048872616675485","type":"journal-article","created":{"date-parts":[[2016,10,15]],"date-time":"2016-10-15T02:29:33Z","timestamp":1476498573000},"page":"70-79","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":51,"title":["Percutaneous balloon atrial septostomy on top of venoarterial extracorporeal membrane oxygenation results in safe and effective left heart decompression"],"prefix":"10.1093","volume":"7","author":[{"given":"Alban-Elouen","family":"Baruteau","sequence":"first","affiliation":[{"name":"Department of Paediatric Cardiology, Royal Brompton Hospital and Harefield NHS Foundation Trust, Imperial College London, London, UK"},{"name":"Cardiology Clinical Academic Group, Cardiovascular and Cell Sciences Research Institute, St George\u2019s University of London, London, UK"},{"name":"IHU LIRYC, Electrophysiology and Heart Modeling Institute, INSERM U1045, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Barnetche","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, University Hospital Pellegrin, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc","family":"Morin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Intensive Care, Paris South University Hospitals, Assistance Publique H\u00f4pitaux de Paris, Le Kremlin-Bic\u00eatre, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakaria","family":"Jalal","sequence":"additional","affiliation":[{"name":"IHU LIRYC, Electrophysiology and Heart Modeling Institute, INSERM U1045, Bordeaux, France"},{"name":"Department of Pediatric Cardiology, Haut-L\u00e9v\u00e8que Hospital, Bordeaux University, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas S","family":"Boscamp","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Morgan Stanley Children\u2019s Hospital, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Le Bret","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Marie-Lannelongue Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Benoit","family":"Thambo","sequence":"additional","affiliation":[{"name":"IHU LIRYC, Electrophysiology and Heart Modeling Institute, INSERM U1045, Bordeaux, France"},{"name":"Department of Pediatric Cardiology, Haut-L\u00e9v\u00e8que Hospital, Bordeaux University, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie A","family":"Vincent","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Morgan Stanley Children\u2019s Hospital, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Fraisse","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology, Royal Brompton Hospital and Harefield NHS Foundation Trust, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro J","family":"Torres","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Morgan Stanley Children\u2019s Hospital, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2016,10,14]]},"reference":[{"key":"bibr1-2048872616675485","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.971101"},{"key":"bibr2-2048872616675485","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.680678"},{"key":"bibr3-2048872616675485","first-page":"II66","volume":"90","author":"del Nido 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