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. 2017 Mar;5(5):103.
doi: 10.21037/atm.2017.03.01.

Use of distal perfusion in peripheral extracorporeal membrane oxygenation

George Makdisi  1 , Tony Makdisi  2 , I-Wen Wang  3
Affiliations

Use of distal perfusion in peripheral extracorporeal membrane oxygenation

George Makdisi et al. Ann Transl Med. 2017 Mar.

Abstract

Extra corporeal membrane oxygenation (ECMO) is a life-saving technique to manage refractory cardiopulmonary failure. Its usage and indication continue to increase. Femoral venoarterial ECMO (VA ECMO) is relatively less invasive and the cardiac support may be more rapidly instituted in in these extremely tenuous patients. Vascular injuries and limb ischemia unfortunately occur in these emergent access settings. Here we will discuss the optimal techniques of preventing this complication which might affect patient survival and impact the patient quality of life.

Keywords: Extra corporeal membrane oxygenation (ECMO); distal perfusion; leg ischemia.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Open cannulation using a synthetic graft. (A) End to side graft chimney graft; (B) T graft. ECMO, extra corporeal membrane oxygenation.
Figure 2
Figure 2
Distal perfusion cannula insertion options (antegrade perfusion). (A) Open common femoral artery; (B) percutaneous common femoral or superficial femoral artery (SFA); (C) contralateral femoral.
Figure 3
Figure 3
Distal perfusion cannula insertion options (retrograde perfusion). (A) Tibial; (B) dorsal.
See this image and copyright information in PMC

References

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