Open AccessCatheter-directed guidance for ECMO cannulation with unfavorable caval anatomy
Author(s) -
Eric I. Jeng,
Charles T. Klodell,
Thomas M. Beaver,
T. Machuca
Publication year - 2017
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-017-0585-z
Subject(s) - medicine , cannula , extracorporeal membrane oxygenation , cardiothoracic surgery , catheter , surgery , lumen (anatomy) , cardiopulmonary bypass , cardiac surgery , anesthesia
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.