M Velia Antonini

Perfusionist ECMO & NRP specialist 🫁🫘🫀 & 🖥️ POCUS
🪑Chair Normothermic Regional Perfusion EuroELSO WG
📱#SoMe Director @ELSOOrg/SoMe Editor @asaiojournal

[M Velia Antonini @FOAMecmo]

TA #NRP in cDCD heart donors using closed #ECMO circuit, modified to provide
🩸🌡️effective NRP despite prolonged fWIT
🫀LV venting
🫀 fast conversion to central configuration as needed
⭕️ shunt for recirculation
🫧 air management
#FOAMcc @asaiojournal
🔓https://t.co/CfbhR1cUCA
TA-NRP using fully mobile, closed #ECLS circuit could be safe strategy to support combined thoracic/abdominal organs recovery also in peripheral centers without cardiac surgery program, contributing to the expansion of DCD programs, increasing availability/quality of grafts, improving recipients’ outcome. @ESOTtransplant @gabriel_oniscu @LuPoten @Unibo @AUSLRomagna

[M Velia Antonini @FOAMecmo]

ECMO for pediatric lung #transplantation:
🔍 ELSO Registry study including 194 pediatric pts (< 19y) who used #ECLS as bridge to LTx or supported after LTx, 2000-2022. 63% survived to hospital discharge
🫁 #ECMO increasingly being used to support children before/after LTx, potentially allowing them to be awake and participate in physical therapy #ICUrehab
⏰ early initiation (24 h of admission) associated with greater survival in patients bridged with intent of LTx, but ultimately did not undergo LTx
🫁 post ECMO for recipients with primary diagnosis of pulmonary hypertension associated with greater survival to discharge, cystic fibrosis with lower
@PedCritCareMed
🔓 https://t.co/UTcF49EDbr

🔭 Coming with editorial: Short & long view of ECMO as a BTT in children #PedsICU
🖇️ https://t.co/0mJT9tsvD0

[M Velia Antonini @FOAMecmo]

🌡️ Hot off the press: #EuroELSOwebinar
ON-SCENE trial: Pre-hospital #ECPR for out-of-hospital-cardiac-arrest #OHCA by the helicopter 🚁 emergency medical services in the Netherlands 🇳🇱: a nationwide study, Speakers: Dinis Miranda & Jeroen de Smit
🔓 https://t.co/TuxxZvojcD See less
📆 Thursday, 12 November 2026
⏰ 16:00-17:00 CET
Save the date & register now! 🖋 https://t.co/de0z8hfKDq

[M Velia Antonini @FOAMecmo]

🫀🫁🫘 Sharing, Learning, Futuring at #SICCH2026 33° National Meeting of the Italian Society of Cardiac Surgery. Pleased to talk discuss about Normothermic Regional Perfusion #NRP and advanced strategies (old, new & upcoming) of in-situ & ex-situ organ perfusion & preservation in #Transplantation

[M Velia Antonini @FOAMecmo]

📢 Results of "OnScene" trial, nationwide prehospital helicopter ECPR program in 🇳🇱, are out on @NEJM + have been just presented at #ReSS26
🚁 In young adults with refractory #OHCA who were attended by HEMS equipped to deliver prehospital #ECMO (intervention group, 144 patients) vs those attended by HEMS without ECPR capability (conventional group 87 patients), incorporating ECPR was associated with improved survival to discharge vs conventional care. In intervention group 40% survived until hospital discharge (vs 20%). At 6 months, a favourable neurologic outcome reported in 36% in the intervention group (vs 13%). Full results at
🖇️ https://t.co/N9OWr3ilun
with editorial by @DYannopoulos
🖇️ https://t.co/bYV2cOsNmT

#AHA2026 #ScientificSessions2 #AHA26

[M Velia Antonini @FOAMecmo]

#POCUS guided iliohypogastric & ilioinguinal nerve blocks under light sedation to facilitate awake VA #ECMO + Impella cannulation in pediatric patients with nonpostcardiotomy cardiogenic shock
🔎 IhIG block placement in #PICU by anesthesia-trained intensivists + surgical awake #ECPella cannulation in the cath lab seems a feasible & safe in selected pts, avoiding high-risk invasive ventilation and general anesthesia, with adequate team preparation + multidisciplinary expertise.
@asaiojournal #PedsICU
🖇️ https://t.co/nvwnUb962g

[M Velia Antonini @FOAMecmo]

📢 Call for abstracts for #EuroELSO2027 is 🔓 open!! Contribute to our 15th annual congress:
⏰ deadline January 3, 2027
🖋 📫 write & submit abstract(s) on #ECMO #ECLS #ECPR #ECCO2r #MCS #PedsICU & more. All accepted abstracts will be presented onsite during the conference & published in a special issue of @asaiojournal, open access (free of article processing charges) + assigned a DOI). We are looking forward to your contributions!
Save date for @EuroELSO conference in 📌 Vienna, Austria 🇦🇹
📆 pre-congress: April 28-29, 2027
📆 congress: April 29 - May 1, 2027

[M Velia Antonini @FOAMecmo]

📢 New call for @EuroELSO grant proposals 2026!
2️⃣ grants with a maximum value of 30K € 💶 are available! This call for applications is aimed at both adult and pediatric research equally, and will be accepted from any healthcare professional or research scientist. For details on:
🎯 purpose & scope
⏳ period of support
💶 financial provision
🔎 eligibility
📑 application process
⚖️ responsibilities of grant recipient
🐖 proposals involving human subjects or animal use
🔗 https://t.co/eBFUCbYqxC
🏆 awarded candidates will be able to present their protocol during #EuroELSO2027 congress in Vienna 🇦🇹, April 28 - May 1, 2027.

[M Velia Antonini @FOAMecmo]

VV #ECMO in immunocompromised patients with #ARDS
🪦 comparable mortality with immunocompetent patients: immunocompromised status per se not independently associated with increased risk of death
🩸pre #ECLS platelet count risk stratification tool (if IMC). If PLTs ≥75 × 109/L better survival/higher rates of successful weaning vs PLTs <75 = increased risk
IMC status alone should not disqualify pt from #ECLS. Consider underlying cause of immunosuppression, and pay attention to baseline PLT count!
@asaiojournal
🖇️ https://t.co/2kronZKniX

[Jordi Riera @jrdelbrio]

💎 ¡Un lujo contar con @FOAMecmo, referente internacional en ECMO, para cerrar la primera jornada de #ECMOBARNA2026!

Una lección magistral sobre excelencia en ECLS.

🚀 Mañana, soporte respiratorio con @efan75 y Roberto Roncon.

👉 https://t.co/wLEID5rbLu

[M Velia Antonini @FOAMecmo]

🔑 Claves para una asistencia con #ECMO de excelencia?? Durante mi presentación en #ECMOBarna2026 tuve la oportunidad de compartir algunos consejos para los futuros #ECMOlogists & #ECLS specialists... Gracias por invitarme @vallhebron @ECMOHUVH & @jrdelbrio, Director de este curso teórico-práctico deoxigenación por membrana extracorpórea endorsed por @ELSOOrg!!

[M Velia Antonini @FOAMecmo]

Pharmacology of vasopressors & inotropes during #ECMO
🫀hemodynamic dysregulation
🩸unique considerations during #ECLS: in-parallel circulation + afterload mismatch, concomitant circulatory devices + unloading
💉 catecholamines & derivatives
💉 non-catecholamines
#FOAMcc #FOAMecmo
🔓 https://t.co/INlsCSof0S

[M Velia Antonini @FOAMecmo]

📢 Call for abstracts! Submit original research for 1st @ISOPPT Congress. Relevant clinical, translational, scientific and engineering work may be considered for oral or poster presentation. Among the categories:
🫀🫁 Thoracic & 🫘 Abdominal organs
🩸 Artificial organ support systems
🔬 Bioengineering & mechanical engineering
💉 Drug testing
🔍 Research models
& more... Submit now 🖊️ https://t.co/CTKhA9mGC8
Join us to discuss about hypo & normothermic machine perfusion, viability assessment, #AI, abdominal & thoraco-abdominal normothermic regional perfusion, immunomodulation, cold static preservation & cryopreservation/supercooling, #extracorporeal supporting devices... Save the date:
📆 February 19-20, 2027
📌 Turin, Italy 🇮🇹

[M Velia Antonini @FOAMecmo]

📢 Reducing anticoagulation in #ECMO⁉️ Here's the upcoming #EuroELSOwebinar
🎤 moderated & introduced by Mark Davidson & Nina Buchtele
Speakers:
💡🔬 Becoming an early career researcher in #ECLS - Walter van den Bergh & Olivier van Minnen
🩸Standard-dose unfractionated heparin versus low-dose unfractionated heparin and low-molecular-weight heparin in extracorporeal life support (RATE): an open-label, randomised, non-inferiority trial
... & lot of Q/A and discussion! Join us:
📆 October 27 2026
⏰ 16:00-17:30 CET
Save the date & register now! 🖋 https://t.co/de0z8hfKDq
🎥 PS all previous @EuroELSO webinars are available on demand, free open access enjoy! #FOAMcc #FOAMecmo
🔓 https://t.co/TuxxZvojcD

[M Velia Antonini @FOAMecmo]

Acute Pulmonary Embolism 2026 Guidelines, an expert perspective including statements on:
🫀VA #ECMO & #ECPR as #MCS for patients exhibiting fulminant RV failure resulting in profound refractory cardiogenic shock or impending cardiac arrest
🩸advanced reperfusion strategies in patients already supported by VA #ECLS
🫀 alternative percutaneous right ventricular assist devices to provide targeted RV support
🖇️ https://t.co/wHJ4DJrNoo

[M Velia Antonini @FOAMecmo]

I had the opportunity to run a workshop on how to implement normothermic regional perfusion in DCD donors, sharing some tips & trick (from the perfusionist perspective) in beautiful Innsbruck 🇦🇹! It was a pleasure engaging in an extremely interactive (& challenging) discussion with the outstanding team of Tirol Kliniken. Impressive to experience the exponential growth of the utilization #NRP throughout Europe (& beyond...), allowing for the expansion of DCDDs enrollment in procurement programs!

[M Velia Antonini @FOAMecmo]

Hot Topics 🌡️ in ECMO #ELSO2026 session
🫀 ECPR in the geriatric population
🐑 Artificial womb technology for extreme prematurity
🚑 #ECPR ON-Scene Trial
💧Liquid ventilation on ECMO
⚠️ Contraindications?? No more!
Virtual program of 37th Annual @ELSOOrg conference is live!! (both pre & main conference).
Register as virtual attendee at
🎥 https://t.co/OdJC6KSxXc
If you joined in Nashville visit:
🎥 https://t.co/a8GMUR51bs

[John Greenwood @JohnGreenwoodMD]

New in ASAIO Journal. We imaged microcirc before &amp; during Impella 5.5 support in 18 cardiogenic shock patients. Impaired baseline MFI, PPV, and PVD improved w Impella. Preserved values did not change. Perhaps pts with HD discordance may benefit most?

https://t.co/VQ3yD1fYAV

[M Velia Antonini @FOAMecmo]

Recovery & survival in VA #ECMO for cardiogenic shock: may lactate normalization, as reflection of metabolic recovery, provide additional prognostic value vs static markers of initial disease severity??
🩸 lactate normalization associated with higher rate of favorable neurologic discharge + 12 months survival
This time-dependent threshold can be used to assist in early neuroprognosis + to guide decision-making on #MCS treatment. @asaiojournal
🖇️ https://t.co/s9Njv4XrSp

[M Velia Antonini @FOAMecmo]

Expert analysis for cardiothoracic anesthesia & critical care @EACTS @STS_CTsurgery @AATSHQ guidelines on temporary #MCS in adult cardiac surgery:
⏰ from deterioration to support: activation, candidacy, timing
🫀 protected cardiac surgery + failure to wean from CPB
🩺 physiology-matched device and configuration selection: #IABP, VA #ECMO & LV unloading, microaxial flow pumps, temporary LV & RV assist device, OxyRVAD, and biventricular support, combined/staged support
🖥️ anesthesia, implantation, and periprocedural monitoring
🖥️ intensive care: verify intended support and prevent secondary injury
🫀 recovery, weaning, transition, transport, explantation
📖 evidence interpretation and practice implications
🔮 knowledge gaps and future directions
🖇️ https://t.co/ZUXn5t7Ze4