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General Thoracic and Cardiovascular Surgery

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10-03-2023 | Ultrasound | How to Do It

Alternative position of cannulae in veno-venous extracorporeal membrane oxygenation for maintaining sufficient flow support

Authors: Ui Won Ko, Chang Hyu Choi, Chul-Hyun Park, Seok In Lee

Published in: General Thoracic and Cardiovascular Surgery | Issue 6/2023

Abstract

Blood flow disturbance of veno-venous extracorporeal membrane oxygenation (VV-ECMO) can be a risk factor of weaning failure. We report an alternative position of cannulae of VV-ECMO which can maintain blood flow. The recirculation rate could be controlled by adjusting a position of return cannula using dilutional ultrasound monitoring.

Burrell AJC, Ihle JF, Pellegrino VA, Sheldrake J, Nixon PT. Cannulation technique: femoro-femoral. J Thorac Dis. 2018;10:616–23.CrossRef

Abrams D, Bacchetta M, Brodie D. Recirculation in venovenous extracorporeal membrane oxygenation. ASAIO J. 2015;61:115–21.CrossRefPubMed

Darling EM, Crowell T, Searles BE. Use of dilutional ultrasound monitoring to detect changes in recirculation during venovenous extracorporeal membrane oxygenation in swine. ASAIO J. 2006;52:522–4.PubMed

Palmér O, Palmér K, Hultman J, Broman M. Cannula design and recirculation during venovenous extracorporeal membrane oxygenation. ASAIO J. 2016;62:737–42.CrossRefPubMedPubMedCentral

Bermudez CA, Rocha RV, Sappington PL, Toyoda Y, Murray HN, Boujoukos AJ. Initial experience with single cannulation for venovenous extracorporeal oxygenation in adults. Ann Thorac Surg. 2010;90:991–5.CrossRefPubMed

Rubino A, Vuylsteke A, Jenkins DP, Fowles JA, Hockings L, Valchanov K. Direct complications of the Avalon bicaval dual-lumen cannula in respiratory extracorporeal membrane oxygenation (ECMO): Single-center experience. Int J Artif Organs. 2014;37:741–7.CrossRefPubMed

Bonacchi M, Harmelin G, Peris A, Sani G. A novel strategy to improve systemic oxygenation in venovenous extracorporeal membrane oxygenation: the “χ-configuration.” J Thorac Cardiovasc Surg. 2011;142:1197–204.CrossRefPubMed

Hori D, Noguchi K, Nomura Y, Tanaka H. Extracorporeal membrane oxygenation with double venous drainage. Ann Thorac Cardiovasc Surg. 2014;20:836–8.CrossRefPubMed

Title: Alternative position of cannulae in veno-venous extracorporeal membrane oxygenation for maintaining sufficient flow support
Authors: Ui Won Ko
Chang Hyu Choi
Chul-Hyun Park
Seok In Lee
Publication date: 10-03-2023
Publisher: Springer Nature Singapore
Keywords: Ultrasound
Ultrasound
ECMO
ECMO
Published in: General Thoracic and Cardiovascular Surgery / Issue 6/2023
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-023-01924-9

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Springer Medicine

Alternative position of cannulae in veno-venous extracorporeal membrane oxygenation for maintaining sufficient flow support

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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