Long venous cannula on the arterial position for VA-ECMO. (September 2018)

• Record Type: Journal Article
• Authors: Rodriguez, Maria L.; Maharajh, Gyaandeo
• Is Part Of: Perfusion. Volume 33:Number 6(2018)
• Page Start: 423
• Page End: 425
• Publication Date: 2018-09
• Subjects: ECMO -- ECMO (extracorporeal membrane oxygenation) -- perfusion -- cannulation -- children -- heart failure -- respiratory failure -- differential hypoxia -- mixing zone -- arterial mixing zone; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659118765628
• Languages: English
• ISSNs: 0267-6591

Abstract

Differential hypoxia and the arterial mixing zone are two important factors in managing peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO). With the aim of improving perfusion to the aortic arch branches and coronaries, we describe our approach for VA-ECMO cannulation: bicaval drainage through the femoral vein and proximal retrograde ECMO flow using a multi-stage venous cannula inserted in the femoral artery and the tip placed at the proximal descending thoracic aorta. We report the use of this VA-ECMO approach on a 15-year-old female with combined cardiorespiratory failure and on a 12-year-old male with acute cardiac failure.