| Preparation and Technical Considerations for Percutaneous Cannulation for Veno-Arterial Extracorporeal Membrane Oxygenation. | |
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MedLine Citation:
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PMID: 23379727 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: The most frequent limb complications from peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) are limb ischemia and localized bleeding. To minimize these risks, perfusion of the distal limb with peripheral percutaneous cannulation was done. TECHNIQUE: Percutaneous cannulation with a distal perfusion port was performed in all patients. During the VA-ECMO, distal limb perfusion was monitored using near-infrared spectroscopy to assess tissue oxygenation. At the decannulation, patch angioplasty was performed to prevent the development of narrowing of the artery at the cannulation site. CONCLUSIONS: Using our standard technique, we have not experienced any limb loss related to ischemia or bleeding. |
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Authors:
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Kathleen M Lamb; Hitoshi Hirose; Nicholas C Cavarocchi |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-2-5 |
Journal Detail:
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Title: Journal of cardiac surgery Volume: - ISSN: 1540-8191 ISO Abbreviation: J Card Surg Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-2-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2013 Wiley Periodicals, Inc. |
Affiliation:
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Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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