{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T21:36:50Z","timestamp":1763156210462,"version":"build-2065373602"},"reference-count":8,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Transcatheter aortic valve implantation (TAVI) has evolved to be the treatment of choice for patients with severe aortic stenosis and high perioperative risk. Cardiogenic shock is one of the most severe complications during the TAVI procedure, especially as the prognosis of cardiogenic shock secondary to aortic stenosis is very poor. This situation can be challenging, while extracorporeal membranous oxygenation (ECMO) can be a treatment option. Here, we reported on an 88-year-old female patient who had been diagnosed as non-ST-elevation myocardial infarction (NSTEMI) and critical aortic valve stenosis (AS) with a logistic Euroscore of 25%. Percutaneous coronary angioplasty (PCI) was performed smoothly and developed tachy-brady arrhythmia of atrial fibrillation then cardiac arrest at the beginning of the TAVI procedure. A v-a ECMO was installed at her left femoral side. Afterward, the TAVI procedure was completed accordingly; her consciousness recovered and Levosimendan therapy enhanced her left-ventricular ejection fraction (LVEF) from 22% to 40%. Five days after TAVI, ECMO was replaced by intra-aortic balloon pumping (IABP) and it was removed 3 days later. A minor complication of this therapy, e.g., muscular weakness in her left leg, was noted. The patient underwent rehabilitation for about 2 months, and was discharged from hospital with a wheel chair and clear consciousness. At the 24 month follow-up she was in good recovery and was able to walk upstairs to the second floor again. Our experience suggests that one indication of prophylactic use of ECMO is for patients with an unstable hemodynamic condition.<\/jats:p>","DOI":"10.3390\/medicina58030356","type":"journal-article","created":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T20:11:14Z","timestamp":1646079074000},"page":"356","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Successful Urgent TAVI for Critical Aortic Valve Stenosis after ECMO Implantation"],"prefix":"10.3390","volume":"58","author":[{"given":"Ya-Lei","family":"Niu","sequence":"first","affiliation":[{"name":"Department of Cardiology, Chang Bing Show Chwan Memorial Hospital, Changhua 505, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3549-3007","authenticated-orcid":false,"given":"Nicola Patrick","family":"Mayr","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr An\u00e4sthesiologie, Deutsches Herzzentrum M\u00fcnchen, Technical University Munich, 80333 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yin-Hwa","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Taipei Veterans General Hospital, Taipei 112, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiao-Hwang","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Taipei Veterans General Hospital, Taipei 112, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi-Pu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Chang Bing Show Chwan Memorial Hospital, Changhua 505, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9035-5408","authenticated-orcid":false,"given":"Hung-Yu","family":"Lin","sequence":"additional","affiliation":[{"name":"Research Assistant Center, Show Chwan Memorial Hospital, Changhua 500, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-Chou","family":"Pai","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Show Chwan Memorial Hospital, Changhua 500, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.jacc.2019.06.012","article-title":"Coronary Artery Disease and Transcatheter Aortic Valve Replacement: JACC State-of-the-Art Review","volume":"74","author":"Faroux","year":"2019","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_2","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":"ref_3","doi-asserted-by":"crossref","first-page":"e008397","DOI":"10.1161\/JAHA.117.008397","article-title":"Sudden Death in Patients with Severe Aortic Stenosis: Observations From the CURRENT AS Registry","volume":"7","author":"Taniguchi","year":"2018","journal-title":"J. Am. Heart Assoc."},{"key":"ref_4","first-page":"69","article-title":"Coronary Revascularisation in Transcatheter Aortic Valve Implantation Candidates: Why, Who, When?","volume":"13","author":"Cao","year":"2018","journal-title":"Interv. Cardiol."},{"key":"ref_5","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":"ref_6","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1007\/s00392-018-1364-6","article-title":"Prophylactic ECMO during TAVI in patients with depressed left ventricular ejection fraction","volume":"108","author":"Trenkwalder","year":"2019","journal-title":"Clin. Res. Cardiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e29","DOI":"10.1016\/j.jtcvs.2012.03.001","article-title":"2012 ACCF\/AATS\/SCAI\/STS expert consensus document on transcatheter aortic valve replacement: Developed in collabration with the American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Failure Society of America, Mended Hearts, Society of Cardiovascular Anesthesiologists, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance","volume":"144","author":"Holmes","year":"2012","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"ytaa567","DOI":"10.1093\/ehjcr\/ytaa567","article-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","volume":"5","author":"Ahsan","year":"2021","journal-title":"Eur. Heart J.-Case Rep."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/58\/3\/356\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:29:07Z","timestamp":1760135347000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/58\/3\/356"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,28]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3]]}},"alternative-id":["medicina58030356"],"URL":"https:\/\/doi.org\/10.3390\/medicina58030356","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2022,2,28]]}}}