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ECMO ( Extracorporeal membrane Oxygenation and VAD ( Ventricular Assist Devices) : Two Options for a Failing Heart that Serve as a Bridge to a Heart Transplant

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Dr. Poonam Malhotra

Additional Professor,Cardiac Anaesthesia

AIIMS,New Delhi


The options available are an intra-aortic balloon pump, which does not build up the mean diastolic pressure beyond 75 mmHg though it does augment the diastolic coronary pressures. But at the same time, awaiting a heart transplant can be very-very traumatic and disastrous for the patient and his family while the cardiac output and the heart continues to fail

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The Indian scenario rich to transplant

</b> When we have a failing heart with an NYHA III or IV dilated cardiomyopathy which is waiting for a heart transplant what are our options available for such a patient. Most of them are on supraoptimal medical therapy which does not build up their cardiac output. The options available are an intra-aortic balloon pump, which does not build up the mean diastolic pressure beyond 75 mmHg though it does augment the diastolic coronary pressures. But at the same time, awaiting a heart transplant can be very-very traumatic and disastrous for the patient and his family while the cardiac output and the heart continues to fail. In such a scenario at AIIMS, the ORBO, the NOTO and many other organizations across the country such as the Fortis Group of Hospitals, (01



  • Heart attack
  • STEMI
  • Primary PCI
  • Angioplasty
  • Heart Failure
  • ECHO

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