Percutaneous right ventricular assist device, rapid employment in right ventricular failure during septic shock

 

Percutaneous right ventricular assist device, rapid employment in right ventricular failure during septic shock

 

by Ignazio Condello 

 

Critical Care volume 24, Article number: 674 (2020) Published: 02 December 2020

 

 

Right ventricular (RV) failure, defined by critical care echocardiography Right Ventricular dilatation) and a surrogate of venous congestion (Central Venous Pressure ≥ 8 mmHg), was frequently observed in septic shock patients and negatively associated with response to a fluid challenge despite significant pulse pressure variation (PPV). Right Heart Failure with invasive ventricular device is associated with significant morbidity and mortality. A new generation of percutaneous right ventricular assist devices (RVADs) may mitigate the need for invasive surgical RVAD implantation. The Protek Duo (TPD) temporary RVAD, capable of providing up to 4.5 L/min, is a dual-lumen cannula inserted via the right internal jugular vein, with its proximal inflow lumen positioned in the right atrium and distal lumen positioned in the main pulmonary artery…