ARTICLES ON HEART FAILURE AND CIRCULATORY DEVICES

Management of post-infarction ventricular septal defect: is early microaxial support the new turning point?

This single-center retrospective observational study evaluates the impact of an initial strategy based on microaxial flow support with Impella® devices, comparing percutaneous models (Impella 2.5®/CP®) with high-flow devices surgically implanted via the axillary approach (Impella 5.0®/5.5®), and their effect on clinical stabilization, access to delayed surgery, and early survival in patients with post-infarction ventricular septal defect (VSD).

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The reinvention of ECMO: strategies that break the VA/VV mold

Editorial commentary on novel cannulation strategies in extracorporeal membrane oxygenation (ECMO) recently published in the Journal of Cardiothoracic and Vascular Anesthesia, proposing technical alternatives to standard VA or VV-ECMO support. These alternative approaches may be particularly valuable in cases of complex pathophysiology, high cardiac output, right ventricular failure, or when conventional devices are contraindicated.

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