Assessment of bedside lower limb angiography combined with continuous NIRS monitoring for the detection of lower limb complications of VA-ECMO: an observational monocentric study
Matthieu Koszutski, Mathieu Mattei, Juan Pablo Maureira, Antoine Kimmoun, Bruno Levy, Matthieu Koszutski, Mathieu Mattei, Juan Pablo Maureira, Antoine Kimmoun, Bruno Levy
Abstract
ClinicalTrials.gov Identifier: NCT03910062.
Conflict of interest statement
Pr Kimmoun received speaker’s honoraria from Aspen and Aguettant. Pr Levy received speaker’s honoraria from Getinge and Abiomed. The other authors declare no conflict of interest related to the submitted paper.
© 2021. The Author(s).
Figures
Common findings on the bedside-angiography after VA-ECMO implantation. a Normal angiography showing an opacification of the superficial femoral and popliteal arteries. b Angiography of a reperfusion cannula misplaced in the deep femoral vein. c Reperfusion cannula misplaced in the deep femoral artery. d An active hemorrhage following a previous failed attempt of placing the reperfusion cannula
References
- de Chambrun MP, Donker DW, Combes A. What’s new in cardiogenic shock? Intensive Care Med mai. 2020;46(5):1016–1019. doi: 10.1007/s00134-020-05973-z.
- Bonicolini E, Martucci G, Simons J, Raffa GM, Spina C, Coco VL, et al. Limb ischemia in peripheral veno-arterial extracorporeal membrane oxygenation: a narrative review of incidence, prevention, monitoring, and treatment. Crit Care Lond Engl. 2019;23(1):266. doi: 10.1186/s13054-019-2541-3.
- Gordon C, Ghodsizad A, Brehm C, Koerner MM, El-Banayosy A. Improved angiographic findings of superficial femoral artery after verapamil injection into the reperfusion cannula of a patient on peripheral venoarterial ECMO. Heart Surg Forum. 2014;17(5):E261–262. doi: 10.1532/HSF98.2014364.
- Arroyo D, Bendjelid K, Robert-Ebadi H, Rigamonti F, Siegenthaler N, Giraud R. Suspected Arterial Vasospasm in Femoro-Femoral Venoarterial Extracorporeal Life Support. ASAIO J. 2017;63(3):e35–8. doi: 10.1097/MAT.0000000000000423.
- Patton-Rivera K, Beck J, Fung K, Chan C, Beck M, Takayama H, et al. Using near-infrared reflectance spectroscopy (NIRS) to assess distal-limb perfusion on venoarterial (V–A) extracorporeal membrane oxygenation (ECMO) patients with femoral cannulation. Perfusion. 2018;267659118777670.
Source: PubMed