Preparation and technical considerations for percutaneous cannulation for veno-arterial extracorporeal membrane oxygenation.

Authors

Kathleen Lamb, Thomas Jefferson UniversityFollow
Hitoshi Hirose, Thomas Jefferson UniversityFollow
Nicholas C. Cavarocchi, Jefferson CollegeFollow

Document Type

Article

Publication Date

3-1-2013

Comments

This article has been peer reviewed. It was published in Journal of Cardiac Surgery.

Volume 28, Issue 2, March 2013, Pages 190-2.

The published version is available at DOI: 10.1111/jocs.12058. Copyright © Wiley.

Abstract

BACKGROUND: The most frequent limb complications from peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) are limb ischemia and localized bleeding. To minimize these risks, perfusion of the distal limb with peripheral percutaneous cannulation was done.

TECHNIQUE: Percutaneous cannulation with a distal perfusion port was performed in all patients. During the VA-ECMO, distal limb perfusion was monitored using near-infrared spectroscopy to assess tissue oxygenation. At the decannulation, patch angioplasty was performed to prevent the development of narrowing of the artery at the cannulation site.

CONCLUSIONS: Using our standard technique, we have not experienced any limb loss related to ischemia or bleeding.

Recommended Citation

Lamb, Kathleen; Hirose, Hitoshi; and Cavarocchi, Nicholas C., "Preparation and technical considerations for percutaneous cannulation for veno-arterial extracorporeal membrane oxygenation." (2013). Department of Surgery Faculty Papers. Paper 108.
https://jdc.jefferson.edu/surgeryfp/108

PubMed ID

23379727