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Ease of Conversion from Venovenous Extracorporeal Membrane Oxygenation to Cardiopulmonary Bypass and Venoarterial Extracorporeal Membrane Oxygenation with a Bicaval Dual Lumen Catheter.
MedLine Citation:
PMID:  21705860     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Extracorporeal circulatory support revolutionized the field of cardiothoracic surgery, initially in the form of cardiopulmonary bypass (CPB) and then in its modified form, extracorporeal membrane oxygenation (ECMO). Although initial cannulation techniques involved open intrathoracic approaches, the increased prevalence of reoperative sternotomies and the emergence of minimally invasive surgery encouraged the development of peripheral cannulation methods and configurations. The Avalon Elite Bicaval Dual Lumen catheter (Avalon Laboratories, LLC, CA) can be placed in the right internal jugular vein to provide venovenous (VV) ECMO. However, some patients on VV ECMO then develop compromised cardiac performance. We describe two ways in which the Avalon Elite was used, first for complete venous drainage through a single peripheral site for CPB and in the other to convert a patient on VV ECMO to axillary artery venoarterial (VA) ECMO.
Authors:
Matthew Bacchetta; Jeffrey Javidfar; Joshua Sonett; Hyonah Kim; Joseph Zwischenberger; Dongfang Wang
Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  57     ISSN:  1538-943X     ISO Abbreviation:  -     Publication Date:    2011 July/August
Date Detail:
Created Date:  2011-6-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  283-285     Citation Subset:  -    
Affiliation:
From the *Division of Cardiothoracic Surgery, Department of Surgery, Columbia-Presbyterian Hospital, New York, New York; and †Department of Surgery, University of Kentucky, Lexington, Kentucky.
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