The use of extracorporeal membrane oxygenation (ECMO) [
[1]
] and its implementation into institutional protocols for extracorporeal cardiopulmonary
resuscitation (ECPR) is rapidly increasing [
1
,
2
,
3
]. One of the commonly reported contraindications to veno-arterial ECMO is acute aortic
dissection, although no studies on feasibility, safety and efficacy of ECPR in this
condition exist. In this context we read with great interest the report of Kelly et
al. in the Journal [
[4]
]. While we fully agree that transesophageal echocardiography (TEE) is still underutilized
especially in emergency medicine and intensive care, the decision against veno-arterial
ECMO upon identification of acute aortic dissection Type A (AADA) raised some concerns
to us.Keywords
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Article Info
Publication History
Published online: April 22, 2019
Accepted:
April 22,
2019
Received:
March 25,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
