Contralateral Lower Extremity Ischemia on Femoral Veno-Arterial Extracorporeal Membrane Oxygenation

被引：2
|
作者：
Arons, Danielle [1 ]
Dave, Sagar [2 ,3 ]
Shah, Aakash [1 ,4 ]
Deatrick, Kristopher B. [1 ]
机构：
[1] Univ Maryland, Sch Med, Div Cardiac Surg, Baltimore, MD USA
[2] Emory Univ, Sch Med, Dept Emergency Med, Atlanta, GA USA
[3] Emory Univ, Sch Med, Dept Anesthesia, Div Crit Care, Atlanta, GA USA
[4] Div Cardiac Surg, 110 South Paca St, 7th Floor, Baltimore, MD 21201 USA
来源：
ASAIO JOURNAL | 2023年 / 69卷 / 03期
关键词：
veno-arterial extracorporeal membrane oxygenation; contralateral lower extremity ischemia; COMPLICATIONS; PREVENTION; MANAGEMENT;
D O I：
10.1097/MAT.0000000000001832
中图分类号：
R318 [生物医学工程];
学科分类号：
0831 ;
摘要：
Ipsilateral lower extremity ischemia is a common and morbid complication during veno-arterial extracorporeal membrane oxygenation (VA-ECMO). The cannula can impede ipsilateral distal arterial flow leading to critical limb ischemia. Cannula size, placement, and utilization of distal perfusion catheters are strategies that have been used to prevent this complication. We report the novel case of a 19-year-old female on VA-ECMO complicated by contralateral lower extremity ischemia. Diagnosis was made by computed tomography, and with repositioning of the femoral arterial cannula, she had a complete resolution of symptoms.
引用
收藏
页码：E128 / E130
页数：3
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