Successful combined liver-kidney transplant with intraoperative VA-ECMO and Impella 5.5 support

Mehran Rahimi, Sarah Madira, Takuya Wada, Jessica Lindemann, Shreya Goswami, Mary Sullivan, Kunal D Kotkar, Muhammad F Masood, Marc A Sintek, Justin Vader, Ivan Kangrga, Jennifer Yu, William C Chapman, Amit A Pawale, Division of Cardiothoracic Surgery, Department of Surgery, Washington University in St, Louis School of Medicine, St Louis, Section of Abdominal Transplant Sugery, Department of Surgery, Washington University in St, Louis School of Medicine, St Louis, Department of Anesthesiology, Washington University in St, Louis School of Medicine, St Louis, Division of Cardiovascular Medicine, Department of Medicine, Washington University in St, Louis School of Medicine, St Louis

Perfusion

Published online on August 27, 2025

Abstract

Perfusion, Ahead of Print.
Introduction:Cardiogenic shock during liver transplantation (LT) is a significant challenge, particularly in patients with comorbidities like end-stage renal disease (ESRD). Mechanical circulatory support (MCS), including veno-arterial extracorporeal ...