In Russia, about 300,000 people per year experience sudden cardiac death. But only 3.5% of them
survive.
Those countries that use an advanced cardiopulmonary resuscitation (CPR) protocol, including ECMO, have about 29% of patients, who
survive with similar pathology.
ECLS for emergency circulatory resuscitation is an aggressive invasive method of extracorporeal
cardiopulmonary resuscitation (ECMO-CPR).
It is used in cardiac arrest patients to restart and maintain blood flow in the body in the absence
of normal heart function.
The method is performed by a specialized ECMO team in the conditions of an inpatient emergency
department or by a specialized emergency medical team in the field.
Cardiogenic shock is the main cause of death of patients with myocardial infarction.
Timely revascularization with ECLS increases the chances of survival in this group of patients.
Emergency percutaneous ECLS may be the most effective primary approach for patients with cardiac
disease and unstable hemodynamics who require urgent surgical intervention (endovascular surgery,
open-heart surgery).
In this context, compared to conventional CPR, ECLS for high-risk endovascular interventions may
provide an opportunity to perform definitive treatment by successful resuscitation and/or temporary
stabilization of the condition through emergency circulatory restoration.
"Diagnostic" ECLS to assess the viability of donor organs prior to transplantation is an innovative
technology in transplantology.
The technique protocol allows preserving organs of a donor for subsequent transplantation.
Normothermic regional perfusion (NRP) is isolated device perfusion of the abdominal organ complex
through femoral vessels (percutaneous cannulation).
The technique uses the restriction of the perfusion region by means of an occluding balloon catheter
placed in the thoracic aorta at the level of the diaphragm.
The perfusion circuit consists of a venous reservoir, a pump, an oxygenator and a heat exchanger to
maintain a certain temperature.
