Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Oct 2:19:326.
doi: 10.1186/s13054-015-1042-2.

Echocardiography for adult patients supported with extracorporeal membrane oxygenation

Ghislaine Douflé  1   2 , Andrew Roscoe  3 , Filio Billia  4   5 , Eddy Fan  6   4
Affiliations
Review

Echocardiography for adult patients supported with extracorporeal membrane oxygenation

Ghislaine Douflé et al. Crit Care. .

Erratum in

Abstract

Venoarterial (VA) and venovenous (VV) extracorporeal membrane oxygenation (ECMO) support is increasingly being used in recent years in the adult population. Owing to the underlying disease precipitating severe respiratory or cardiac failure, echocardiography plays an important role in the management of these patients. Nevertheless, there are currently no guidelines on the use of echocardiography in the setting of ECMO support. This review describes the current state of application of echocardiography for patients supported with both VA and VV ECMO.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Venovenous (VV) and venoarterial (VA) extracorporeal membrane oxygenation (ECMO) configurations and corresponding echocardiographic views. This diagram shows the most common ECMO configurations in our center. (1) Bicannulation VV ECMO (femoro-jugular cannulation) with the drainage cannula in the femoral vein and the reinjection in the superior vena cava (SVC), via the jugular vein. a Mid-esophageal view showing the SVC and reinjection cannula within it (transesophageal echocardiography). b Inferior vena cava (IVC) subcostal view. The drainage cannula is visualized within the IVC in long axis (transthoracic echocardiography). (2) Femoro-femoral VA ECMO cannulation. The drainage cannula is located in the IVC and the reinjection cannula is in the iliac artery/distal descending aorta. c Transthoracic apical four-chamber of a patient with a dilated cardiomyopathy. The cannulae are not visualized on this view but note the presence of an automatic implantable cardioverter defibrillator within the right ventricle
Fig. 2
Fig. 2
Bicaval dual-lumen cannula for venovenous extracorporeal membrane oxygenation (VV ECMO; Avalon Elite®) and corresponding echocardiographic views. This picture depicts a bicaval dual-lumen cannula, inserted via the internal jugular vein. The drainage holes are located in the superior vena cava and inferior vena cava (IVC), and the reinjection hole is facing the tricuspid valve (TV). a Mid-esophageal bicaval view showing the cannula within the right atrium (RA) (transesophageal echocardiography). b Transthoracic subcostal view showing the cannula in the RA; the tip of the cannula is located in the IVC. The reinjection hole is visible, oriented towards the tricuspid valve. RV, right ventricle
See this image and copyright information in PMC

References

    1. Paden ML, Conrad SA, Rycus PT, Thiagarajan RR. ELSO Registry: Extracorporeal Life Support Organization Registry Report 2012. ASAIO J. 2013;59:202–10. doi: 10.1097/MAT.0b013e3182904a52. - DOI - PubMed
    1. Combes A, Brodie D, Bartlett R, Brochard L, Brower R, Conrad S, et al. Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients. Am J Respir Crit Care Med. 2014;190:488–96. doi: 10.1164/rccm.201404-0630CP. - DOI - PubMed
    1. Barnacle AM, Smith LC, Hiorns MP. The role of imaging during extracorporeal membrane oxygenation in pediatric respiratory failure. Am J Roentgenol. 2006;186:58–66. doi: 10.2214/AJR.04.1672. - DOI - PubMed
    1. Platts DG, Sedgwick JF, Burstow DJ, Mullany DV, Fraser JF. The role of echocardiography in the management of patients supported by extracorporeal membrane oxygenation. J Am Soc Echocardiogr. 2012;25:131–41. doi: 10.1016/j.echo.2011.11.009. - DOI - PubMed
    1. Peris A, Lazzeri C, Cianchi G, Bonizzoli M, Batacchi S, Bernardo P, et al. Clinical significance of echocardiography in patients supported by venous-venous extracorporeal membrane oxygenation. J Artif Organs. 2015;18:99–105. doi: 10.1007/s10047-015-0824-2. - DOI - PubMed

LinkOut - more resources