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Erschienen in: Intensive Care Medicine 9/2020

17.03.2020 | Imaging in Intensive Care Medicine

A strange position of a venous drainage ECMO cannula

verfasst von: Frederic Caruso, Simone Giglioli, Ilias Bennouna, Daniel De Backer

Erschienen in: Intensive Care Medicine | Ausgabe 9/2020

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Excerpt

Dual cannulation was performed under ultrasound guidance for venovenous ECMO in this patient with severe ARDS. A multiperforated 25F drainage cannula (MEDTRONIC Biomedicus Multistage Venous Femoral 25Fr × 60 cm) was inserted via the left femoral vein, and its tip was positioned at the entrance of the right atrium as confirmed by transesophageal echocardiography. The return cannula was inserted through right jugular access. After 10 days of uneventful ECMO run, an abdominal CT scanner was performed to identify the source of recurrent sepsis. Surprisingly, the drainage cannula was positioned on the left side of the aorta (Fig. 1a). In this patient presenting a dual inferior vena cava (IVC), the drainage cannula entered the left iliac vein, continuing into the left IVC, the left renal vein and then the common part of the IVC just before entering the thorax (Fig. 1b, c).
Metadaten
Titel
A strange position of a venous drainage ECMO cannula
verfasst von
Frederic Caruso
Simone Giglioli
Ilias Bennouna
Daniel De Backer
Publikationsdatum
17.03.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 9/2020
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-020-06008-3

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