The Scientific World Journal / 2014 / Article / Tab 2

Review Article

Monitoring of the Adult Patient on Venoarterial Extracorporeal Membrane Oxygenation

Table 2

Contraindications to VA ECMO.

Absolute contraindications
 Uncontrolled, active bleeding or other contraindication to
 anticoagulation
 End-stage, irreversible processes from which patient is not
 expected to recover (unless transplant candidate)
  (i) Cardiac disease
  (ii) Respiratory disease
  (iii) Neurologic disease
 Poor preexisting functional status or multisystem organ failure
 Unwitnessed cardiac arrest or prolonged cardiopulmonary
 resuscitation (>60 min)
 Aortic dissection
 Severe aortic valve regurgitation
Other considerations
 Advanced age
 Renal or liver failure
 Active malignancy
 Morbid obesity
 Significant peripheral vascular disease
 Heparin-induced thrombocytopenia

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