3 years ago

Endovascular crossover perfusion of lower limb in patients supported on veno-arterial extracorporeal membrane oxygenation: rescue therapy or thoughtful approach

There has been a dramatic increase in the use of Veno-Arterial Extracorporeal Membrane Oxygenation (VA ECMO) for hemodynamic support. Limb ischemia is a known complication of peripheral cannulation and an antegrade perfusion cannula can be inserted into the femoral or superficial femoral artery to minimize the risk of peripheral limb ischemia. Often, it is difficult to obtain antegrade access for limb perfusion due to anatomical or technical difficulties. Herein we report 5 cases in which a unique limb perfusion strategy was utilized using contralateral access for limb perfusion, as antegrade access was not feasible. To our knowledge, this is the first reported series of this approach.

Publisher URL: www.sciencedirect.com/science

DOI: S0022522318300448

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