Abstract
Extracorporeal membrane oxygenation (ECMO) has become the standard of care for potentially reversible cardiopulmonary conditions intractable to conventional medical management. Single site, dual-lumen veno-venous ECMO has proven to be safe and advantageous with respect to mobilization of the patient. Nevertheless, adequate respiratory support demands optimal cannula positioning and catastrophic cannulation complications have been reported. We describe herein the utilization of an angulated guiding catheter to obtain trans-caval access for the successful placement of a single site dual-lumen cannula for veno-venous ECMO in a patient with unfavorable trans-caval anatomy.
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We would like to acknowledge Hannah Jeng for her efforts in formatting our figures.
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All of the authors are in agreement with the content in the manuscript. There are no sources of financial support in the form of grants, equipment, and/or pharmaceutical items for this research. There are no potential conflicts of interest for all authors. This has been presented as a poster at the American Lung Association Tri-State Conference in 2016. It has not been published previously and is not currently under consideration elsewhere. Thank you for considering our manuscript for publication.
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I-Hun Jeng, E., Klodell, C.T., Beaver, T.M. et al. Catheter-directed guidance for ECMO cannulation with unfavorable caval anatomy. Indian J Thorac Cardiovasc Surg 34, 391–393 (2018). https://doi.org/10.1007/s12055-017-0585-z
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DOI: https://doi.org/10.1007/s12055-017-0585-z