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Successful Recovery After Veno-Arterio-Venous Extracorporeal Membrane Oxygenation Immediately Before Liver Transplantation in Multi-Organ Failure Including Acute Respiratory Distress Syndrome: A Case Report

 Mun Chae Choi  ;  Eun-Ki Min  ;  Seung Hyuk Yim  ;  Jae Geun Lee  ;  Bon-Nyeo Koo  ;  Hyohyun Kim  ;  Hye Won Lee  ;  Dong Jin Joo  ;  Myoung Soo Kim 
 TRANSPLANTATION PROCEEDINGS, Vol.55(3) : 684-686, 2023-04 
Journal Title
Issue Date
Extracorporeal Membrane Oxygenation* / methods ; Humans ; Liver Transplantation* / adverse effects ; Living Donors ; Multiple Organ Failure / etiology ; Multiple Organ Failure / therapy ; Respiratory Distress Syndrome* / etiology ; Respiratory Distress Syndrome* / therapy ; Respiratory Insufficiency* / therapy
Extracorporeal membrane oxygenation (ECMO) has emerged as an alternative treatment to con-ventional ventilation maneuvers in the nontransplantation literature to support acute respiratory distress syndrome. However, the role of ECMO in transplant is unclear, and few case reports have described using ECMO pretransplant. We discuss the successful use of veno-arteriovenous ECMO as a bridge therapy to deceased donor liver transplant (LT) in acute respiratory distress syndrome. Because the incidence of severe pulmonary complications resulting in acute respira-tory distress syndrome with multiorgan failure is rare before LT, determining the usefulness of ECMO is challenging. However, in acute but reversible respiratory failure and cardiovascular failure, veno-arteriovenous ECMO provides a useful therapeutic option as a bridge for patients awaiting LT and should be considered if available even in multiorgan failure.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Koo, Bon-Nyeo(구본녀) ORCID logo https://orcid.org/0000-0002-3189-1673
Kim, Myoung Soo(김명수) ORCID logo https://orcid.org/0000-0002-8975-8381
Kim, Hyohyun(김효현) ORCID logo https://orcid.org/0000-0002-1608-9674
Min, Eun-Ki(민은기)
Lee, Jae Geun(이재근) ORCID logo https://orcid.org/0000-0002-6722-0257
Lee, Hye Won(이혜원) ORCID logo https://orcid.org/0000-0002-3552-3560
Yim, Seung Hyuk(임승혁) ORCID logo https://orcid.org/0000-0003-2146-3592
Joo, Dong Jin(주동진) ORCID logo https://orcid.org/0000-0001-8405-1531
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