In our center, when femoral artery is cannulated for VA-ECMO, we always insert a 6 Fr distal reperfusion cannula into the superficial femoral artery to mitigate the risk of distal limb ischemia and splice into the arterial limb of the circuit (Figure 1). Figure 1. Various cannulation sites ...
VA-ECMO can be lifesaving in cardiogenic shock in children. While surgical vascular repair is the current standard of care for decannulation, it comes with notable risks. We present a series of eight patients who underwent decannulation with a collagen plug-based vascular closure device (MANTA)...
2021年ELSO成人心脏病患者成年心脏病患者VA体外膜肺氧合 ECMO (完整版)在过去的十年中,体外膜肺氧合(ECMO )的使用呈指数增长,从20年 前美国每年约30-40名患者到目前每年超过2000名患者,而且数量还在 上升。ECMO使用的增加得益于插管技术的改进、包括经皮途径,以及泵、 氧合器和导管技术的进展。然而尽管有这些...
This study describes a multidisciplinary approach to ECMO cannulation using the expertise of pediatric surgery (PS) and interventional radiology (IR). Material and methods Pediatric patients (< 18 years) undergoing percutaneous cannulation for peripheral veno-arterial (VA) ECMO by PS and IR from ...
结果最终纳入47例行VA-ECMO治疗患者,其中手动压迫止血组24例,ProGlide血管缝合器组23例.结果发现手动压迫组止血时间(61.67±6.16)min显著长于ProGlide血管缝合器组(15.04±2.75)min.手动压迫止血组制动时间(23.92±1.56)h,显著长于ProGlide血管缝合器组(6±0)h,且相关并发症方面无显著差异.结论VA-ECMO患者股动脉手动...
Circulatory support by va ECMO (venoarterial extracorporeal membrane oxygenation): Cannulation types and related complicationsM.A., Solla BucetaA.I., Hurtado DoceM.J., Garcia MongeL., Seoane Quiroga
Conclusions: Limb complications related to femoral cannulation for VA-ECMO can lead to prolonged morbidity and limb loss. NIRS and placement of DPC, primary repair of arteriotomy or patch angioplasty, along with aggressive wound care, can dramatically decrease rates of limb ischemia, limb loss and...
Methods:We retrospectively reviewed the results of bedside VA-ECMO decannulation between November 2018 and June 2021. Patients with VA-ECMO who could be bridged to recovery were recruited and divided into the ProGlide or Manta group based on the closure device used. Procedure time, amount of ...
56: Comparison of Outcomes of Central and Peripheral VA ECMO Cannulation for Pediatric Patients with Septic Shockdoi:10.1097/01.mat.0000990972.64350.90Abhinav TotapallyMonroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, USA.Melissa Danko...
Ultrasound guided femoral cannulation and percutaneous perfusion of the distal limb for VA ECMO. J Card Surg. 2014; 29: 427-9.Benassi F, Vezzani A, Vignali L, Gherli T. Ultrasound guided femoral cannulation and percutaneous perfusion of the distal limb for VA ECMO. J Card Surg. 2014; 29...