LAVA ECMO in Structural Heart Procedures: Hemodynamic Support Strategy Explained with Dr. Giustino and Dr. Pop

Structural heart interventions increasingly involve patients with severe ventricular dysfunction, valvular shock, or limited hemodynamic reserve. In these cases, maintaining stability throughout the procedure can be the biggest challenge.In this MurmurMD discussion and case review, Dr. Gennaro Giustino and Dr. Andrei Pop review how LAVA ECMO (Left Atrial Veno-Arterial ECMO) can be used to support patients undergoing complex structural heart interventions.The conversation walks through practical considerations around the use of LAVA ECMO, including:• Why traditional support strategies can be insufficient during certain structural interventions• How LAVA ECMO provides effective hemodynamic support in unstable patients• The physiologic advantages of left atrial drainage• Procedural setup and access considerations• How ECMO support can stabilize patients during high-risk valve procedures• Integrating mechanical circulatory support into structural heart workflows• Lessons learned from real-world cases using LAVA ECMOThis discussion highlights how advanced support strategies are becoming an important tool for managing high-risk structural heart patients.🔔 Subscribe for more insights from interventional experts and real-world program builders.📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvAChapters:00:00 – Introduction to LAVA ECMO support 00:40 – Why hemodynamic support is needed in structural procedures 01:30 – Physiologic rationale for left atrial drainage 02:20 – How LAVA ECMO differs from traditional ECMO support 03:10 – Procedural setup and access strategy 04:10 – Use of ECMO during structural interventions 05:10 – Managing hemodynamics throughout the procedure 06:00 – Clinical outcomes and lessons learned 06:50 – Key takeaways for structural heart teams#ECMO #LAVAECMO #StructuralHeart #MechanicalCirculatorySupport #CardiogenicShock #InterventionalCardiology #CathLab #MurmurMD