Document Type
Article
Publication Date
11-1-2015
Abstract
The Avalon dual lumen cannula is presently the cannula of choice for veno-venous extracorporeal membrane oxygenation (VV-ECMO) via right internal jugular cannulation. This cannula establishes VV-ECMO with a single cannulation; however, it requires appropriate positioning to gain adequate oxygenation. Malposition of this cannula can cause inadequate ECMO flow, hypoxia, and structural injury. We have experienced two cases of migration: one into the hepatic vein and the other into the right ventricle. The former was repositioned using echocardiographic guidance without using a guidewire. The latter was repositioned using a guidewire from the femoral vein under fluoroscopy, without antegrade wire placement into the Avalon cannula, discontinuation of ECMO, or bleeding.
Recommended Citation
Tanaka, Daizo; Pitcher, Harrsion T.; Cavarocchi, Nicholas C.; and Hirose, Hitoshi, "Migrated Avalon Veno-Venous Extracorporeal Membrane Oxygenation Cannula: How to Adjust Without Interruption of Flow." (2015). Department of Surgery Faculty Papers. Paper 141.
https://jdc.jefferson.edu/surgeryfp/141
PubMed ID
26358888
Comments
This is the peer reviewed version of the following article: Tanaka, D., Pitcher, H. T., Cavarocchi, N., & Hirose, H. (2015). Migrated avalon veno-venous extracorporeal membrane oxygenation cannula: How to adjust without interruption of flow. Journal of Cardiac Surgery, 30(11), 865-868, which has been published in final form at DOI: 10.1111/jocs.12629. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.