{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:56:17Z","timestamp":1785545777701,"version":"3.56.0"},"reference-count":0,"publisher":"European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMCTS"],"abstract":"<jats:p>Therapy for cardiogenic shock using temporary mechanical circulatory support has improved significantly in the last decades, providing patients with new technologies for both acute phase stabilization and bridging to long-term therapies. A combination of a venoarterial extracorporeal life support system and the Impella left ventricular assist device (known as the ECMELLA approach) represents an effective therapy for severe cardiogenic shock that achieves high-flow circulatory support with simultaneous left-ventricular unloading. We present the new ECMELLA 2.0 concept, whereby a single arterial access technique is used to treat severe cardiogenic shock. The goal of this technique is to reduce access-related complications and make a bedside staged weaning from mechanical support possible.<\/jats:p>","DOI":"10.1510\/mmcts.2021.026","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T08:22:05Z","timestamp":1619511725000},"source":"Crossref","is-referenced-by-count":7,"title":["Single arterial access ECMELLA: A new concept and step-by-step procedure"],"prefix":"10.1510","member":"10966","published-online":{"date-parts":[[2021,4,27]]},"container-title":["The Multimedia Manual of Cardio-Thoracic Surgery"],"original-title":[],"deposited":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T16:03:50Z","timestamp":1667405030000},"score":1,"resource":{"primary":{"URL":"https:\/\/mmcts.org\/tutorial\/1648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,27]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1510\/mmcts.2021.026","relation":{},"subject":[],"published":{"date-parts":[[2021,4,27]]}}}