Preparation and technical considerations for percutaneous cannulation for veno-arterial extracorporeal membrane oxygenation
Kathleen M Lamb, Hitoshi Hirose, Nicholas C Cavarocchi, Kathleen M Lamb, Hitoshi Hirose, Nicholas C Cavarocchi
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.
© 2013 Wiley Periodicals, Inc.
Source: PubMed