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Sergio Sciacca
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J Thorac Cardiovasc Surg 2008;135:717
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Circulatory support system as a bridge to decision in patients with refractory acute cardiogenic shock: Is there a space for extracorporeal membrane oxygenation?

Gianluca Santise, MD, Sergio Sciacca, MD, Giuseppe D'Ancona, MD, Michele Pilato, MD

Department of Cardiothoracic Surgery, Mediterranean Institute for Transplantation and Advanced Specialized Therapies, University of Pittsburgh Medical Center, Palermo, Italy

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the timely report by John and colleagues1Go about the elective use of the Levitronix CentriMag as a bridge to decision in cardiogenic shock. We commend them for their encouraging results in 12 patients assisted with biventricular support.

Although the concept of cardiac assistance as bridge to decision is well addressed by the authors, we believe that extracorporeal membrane oxygenation (ECMO) could play a more valuable role in this context. This is especially so when the expected assistance time is relatively short (eg, an average . . . [Full Text of this Article]






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