nach oben

Indian Journal of Thoracic and Cardiovascular Surgery

Erschienen in:

31.03.2020 | Review Article

Overview of the bicaval dual lumen cannula

verfasst von: Vanessa Marie Bazan, Evan Michael Taylor, Tyler Michael Gunn, Joseph Bertram Zwischenberger

Erschienen in: Indian Journal of Thoracic and Cardiovascular Surgery | Sonderheft 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is a form of extracorporeal life support that provides total gas exchange (CO2 and O2) within the central venous circulation. The bicaval dual lumen cannula (DLC) is an option for patients requiring respiratory support with VV-ECMO. The catheter is inserted via the internal jugular vein into the superior and inferior vena cava, drains blood into the ECMO circuit for gas exchange, and then returns arterialized blood to the right heart for circulation. The DLC facilitates physical therapy, ambulation, and early extubation. This chapter will review the uses, advantages, and unique complications of the DLC.

Extracorporeal Life Support Organization (ELSO). General guidelines for all ECLS cases. August 2017. https://www.elso.org/Resources/Guidelines.aspx. Accessed June 12 2019.

Makdisi G, Wang IW. Extra Corporeal Membrane Oxygenation (ECMO) review of a lifesaving technology. J Thorac Dis. 2015;7:E166–76.PubMedPubMedCentral

Lorusso R, Alexander P, Rycus P, Barbaro R. The extracorporeal life support organization registry:update and perspectives. Ann Cardiothorac Surg. 2019;8:93–8.PubMedPubMedCentral

ECMO. Registry of the Extracorporeal Life Support Organization (ELSO). Ann Arbor: Michigan; April, 2019.

Bartlett RH, Gazzaniga AB, Toomasian J, Coran AG, Roloff D, Rucker R. Extracorporeal membrane oxygenation (ECMO) in neonatal respiratory failure. 100 cases. Ann Surg. 1986;204:236–45.PubMedPubMedCentral

Bartlett RH, Roloff DW, Cornell RG, Andrews AF, Dillon PW, Zwischenberger JB. Extracorporeal circulation in neonatal respiratory failure: a prospective randomized study. Pediatrics. 1985;76:479–87.PubMed

O'Rourke PP, Crone RK, Vacanti JP, et al. Extracorporeal membrane oxygenation and conventional medical therapy in neonates with persistent pulmonary hypertension of the newborn: a prospective randomized study. Pediatrics. 1989;84:957–63.PubMed

No authors listed. UK collaborative randomised trial of neonatal extracorporeal membrane oxygenation. UK Collaborative ECMO Trail Group. Lancet. 1996;348:75-82.

Anderson HL, Otsu T, Chapman RA, Barlett RH. Venovenous extracorporeal life support in neonates using a double lumen catheter. ASAIO Trans. 1989;35:650–3.PubMed

10.

Harvey C. Cannulation for Neonatal and Pediatric Extracorporeal Membrane Oxygenation for Cardiac Support. Front Pediatr. 2018;6:17.PubMedPubMedCentral

11.

Zwischenberger JB, Toomasian JM, Drake K, Andrews AF, Kolobow T, Bartlett RH. Total respiratory support with single cannula venovenous ECMO: double lumen continuous flow vs. single lumen tidal flow. Trans Am Soc Artif Intern Organs. 1985;31:610–5.PubMed

12.

Andrews AF, Zwischenberger JB, Cilley RE, Drake KL. Venovenous extracorporeal membrane oxygenation (ECMO) using a double-lumen cannula. Artif Organs. 1987;11:265–8.PubMed

13.

Otsu T, Merz SI, Hultquist KA, et al. Laboratory evaluation of a double lumen catheter for venovenous neonatal ECMO. ASAIO Trans. 1989;35:647–50.PubMed

14.

Anderson HL, Snedecor SM, Otsu T, Barlett RH. Multicenter comparison of conventional venoarterial access versus venovenous double-lumen catheter access in newborn infants undergoing extracorporeal membrane oxygenation. J Pediatr Surg. 1993;28:530–4.PubMed

15.

Delius R, Anderson H, Schumacher R, et al. Venovenous compares favorably with venoarterial access for extracorporeal membrane oxygenation in neonatal respiratory failure. J Thorac Cardiovasc Surg. 1993;106:329–38.PubMed

16.

Gauger PG, Hirschl RB, Delosh TN, Dechert RE, Tracy T, Bartlett RH. A matched pairs analysis of venoarterial and venovenous extracorporeal life support in neonatal respiratory failure. ASAIO J. 1995;41:M573–9.PubMed

17.

Zwischenberger JB, Nguyen TT, Upp JR, et al. Complications of neonatal extracorporeal membrane oxygenation. Collective experience from the extracorporeal life support organization. J Thorac Cardiovasc Surg. 1994;107:838–48.PubMed

18.

Wang D, Zhou X, Liu X, Sidor B, Lynch J, Zwischenberger JB. Wang-Zwische double lumen cannula-toward a percutaneous and ambulatory paracorporeal artificial lung. ASAIO J. 2008;54:606–11.PubMed

19.

Davies A, Jones D, Bailey M, et al. Extracorporeal membrane oxygenation for 2009 influenza A(H1N1) acute respiratory distress syndrome. JAMA. 2009;302:1888–95.PubMed

20.

Noah MA, Peek GJ, Finney SJ, et al. Referral to an extracorporeal membrane oxygenation center and mortality among patients with severe 2009 influenza A(H1N1). JAMA. 2011;306:1659–68.PubMed

21.

Peek GJ, Mugford M, Tiruvoipati R, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): A multicentre randomised controlled trial. Lancet. 2009;374:1351–63.PubMed

22.

Bermudez CA, Rocha RV, Sappington PL, Toyoda Y, Murray HN, Boujoukos AJ. Initial experience with single cannulation for venovenous extracorporeal oxygenation in adults. Ann Thorac Surg. 2010;90:991–5.PubMed

23.

Javidfar J, Brodie D, Wang D, et al. Use of bicaval dual-lumen catheter for adult venovenous extracorporeal membrane oxygenation. Ann Thorac Surg. 2011;91:1763–8.PubMed

24.

Zamora IJ, Shekerdemian L, Fallon SC, et al. Outcomes comparing dual-lumen to multisite venovenous ECMO in the pediatric population: The extracorporeal life support registry experience. J Pediatr Surg. 2014;49:1452–7.PubMed

25.

Abrams D, Brodie D. Emerging indications for extracorporeal membrane oxygenation in adults with respiratory failure. Ann Am Thorac Soc. 2013;10:371–7.PubMed

26.

Taccone FS, Malfertheiner MV, Ferrari F, et al. Extracorporeal CO2 removal in critically ill patients: A systematic review. Minerva Anestesiol. 2017;83:762–72.PubMed

27.

Gattinoni L, Kolobow T, Agostoni A, et al. Clinical application of low frequency positive pressure ventilation with extracorporeal CO2 removal (LFPPV-ECCO2R) in treatment of adult respiratory distress syndrome (ARDS). Int J Artif Organs. 1979;2:282–3.PubMed

28.

Morris AH, Wallace CJ, Menlove RL, et al. Randomized clinical trial of pressure-controlled inverse ratio ventilation and extracorporeal CO2 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med. 1994;149:295–305.PubMed

29.

Abrams DC, Brenner K, Burkart KM, et al. Pilot study of extracorporeal carbon dioxide removal to facilitate extubation and ambulation in exacerbations of chronic obstructive pulmonary disease. Ann Am Thorac Soc. 2013;10:307–14.PubMed

30.

Brenner K, Abrams DC, Agerstrand CL, Brodie D. Extracorporeal carbon dioxide removal for refractory status asthmaticus: experience in distinct exacerbation phenotypes. Perfusion. 2014;29:26–8.PubMed

31.

Schneider TM, Bence T, Brettner F. “Awake” ECCO2R superseded intubation in a near-fatal asthma attack. J Intensive Care. 2017;5:53.PubMedPubMedCentral

32.

Lynch W. ECLS Cannulation for adults with respiratory failure. In: Brogan T, editor. Extracorporeal life support: The ELSO red book. Ann Arbor: ELSO; 2017. p. 429–36.

33.

Schmid C, Philipp A, Hilker M, et al. Venovenous extracorporeal membrane oxygenation for acute lung failure in adults. J Heart Lung Transplant. 2012;31:9–15.PubMed

34.

Goligher EC, Tomlinson G, Hajage D, et al. Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome and posterior probability of mortality benefit in a post hoc bayesian analysis of a randomized clinical trial. JAMA. 2018;320:2251–9.PubMed

35.

Fuehner T, Kuehn C, Hadem J, et al. Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation. Am J Respir Crit Care Med. 2012;185:763–8.PubMed

36.

Bacchetta M, Javidfar J, Sonett J, Kim H, Zwischenberger J, Wang D. Ease of conversion from venovenous extracorporeal membrane oxygenation to cardiopulmonary bypass and venoarterial extracorporeal membrane oxygenation with a bicaval dual lumen catheter. ASAIO J. 2011;57:283–5.PubMed

37.

Kohler K, Valchanov K, Nias G, Vuylsteke A. ECMO cannula review. Perfusion. 2013;28:114–24.PubMed

38.

Sorokin V, MacLaren G, Vidanapathirana PC, Delnoij T, Lorusso R. Choosing the appropriate configuration and cannulation strategies for extracorporeal membrane oxygenation: The potential dynamic process of organ support and importance of hybrid modes. Eur J Heart Fail. 2017;19:75–83.PubMed

39.

Zhao J, Wang D, Ballard-Croft C, et al. Hybrid extracorporeal membrane oxygenation using avalon elite double lumen Cannula ensures adequate heart/brain oxygen supply. Ann Thorac Surg. 2017;104:847–53.PubMed

40.

Biscotti M, Bacchetta M. The "sport model": extracorporeal membrane oxygenation using the subclavian artery. Ann Thorac Surg. 2014;98:1487–9.PubMed

41.

Brasseur A, Scolletta S, Lorusso R, Taccone FS. Hybrid extracorporeal membrane oxygenation. J Thorac Dis. 2018;10:S707–15.PubMedPubMedCentral

42.

Mazzeffi M, Kon Z, Menaker J, et al. Large dual-lumen extracorporeal membrane oxygenation cannulas are associated with more intracranial hemorrhage. ASAIO J. 2019. https://doi.org/10.1097/MAT.0000000000000917.

43.

O'Brien C, Monteagudo J, Schad C, Cheung E, Middlesworth W. Centrifugal pumps and hemolysis in pediatric extracorporeal membrane oxygenation (ECMO) patients: An analysis of Extracorporeal Life Support Organization (ELSO) registry data. J Pediatr Surg. 2017;52:975–8.PubMed

44.

Camboni D, Akay B, Sassalos P, et al. Use of venovenous extracorporeal membrane oxygenation and an atrial septostomy for pulmonary and right ventricular failure. Ann Thorac Surg. 2011;91:144–9.PubMed

45.

Javidfar J, Brodie D, Sonett J, Bacchetta M. Venovenous extracorporeal membrane oxygenation using a single cannula in patients with pulmonary hypertension and atrial septal defects. J Thorac Cardiovasc Surg. 2012;143:982–4.PubMed

46.

Kon ZN, Pasrija C, Shah A, Griffith BP, Garcia JP. Venovenous extracorporeal membrane oxygenation with atrial septostomy as a bridge to lung transplantation. Ann Thorac Surg. 2016;101:1166–9.PubMed

47.

Broman LM, Malfertheiner MV, Montisci A, Pappalardo F. Weaning from veno-venous extracorporeal membrane oxygenation: how I do it. J Thorac Dis. 2018;10:S692–7.PubMedPubMedCentral

48.

Tignanelli CJ, Weinberg A, Napolitano LM. Optimal methods to secure extracorporeal membrane oxygenation bicaval dual-lumen cannulae: What works? ASAIO J. 2019;65:628–30.PubMed

49.

Rubino A, Vuylsteke A, Jenkins DP, Fowles JA, Hockings L, Valchanov K. Direct complications of the Avalon bicaval dual-lumen cannula in respiratory extracorporeal membrane oxygenation (ECMO): Single-center experience. Int J Artif Organs. 2014;37:741–7.PubMed

50.

Subramanian S, Vafaeezadeh M, Parrish AR, McMullan DM. Comparison of wire-reinforced and non-wire-reinforced dual-lumen catheters for venovenous ECMO in neonates and infants. ASAIO J. 2013;59:81–5.PubMed

51.

Shaheen A, Tanaka D, Cavarocchi NC, Hirose H. Veno-Venous Extracorporeal Membrane Oxygenation (V V ECMO): Indications, preprocedural considerations, and technique. J Card Surg. 2016;31:248–52.PubMed

52.

Ngai CW, Ng PY, Sin WC. Bicaval dual lumen cannula in adult veno-venous extracorporeal membrane oxygenation—clinical pearls for safe cannulation. J Thorac Dis. 2018;10:S624–8.PubMedPubMedCentral

53.

Griffee MJ, Tonna JE, McKellar SH, Zimmerman JM. Echocardiographic guidance and troubleshooting for venovenous extracorporeal membrane oxygenation using the dual-lumen bicaval cannula. J Cardiothorac Vasc Anesth. 2018;32:370–8.PubMed

54.

Chimot L, Marqué S, Gros A, et al. Avalon© bicaval dual lumen cannula for venovenous extracorporeal membrane oxygenation: survey of cannula use in France. ASAIO J. 2013;59:157–61.PubMed

55.

Fallon SC, Shekerdemian LS, Olutoye OO, et al. Initial experience with single-vessel cannulation for venovenous extracorporeal membrane oxygenation in pediatric respiratory failure. Pediatr Crit Care Med. 2013;14:366–73.PubMedPubMedCentral

56.

Jarboe MD, Gadepalli SK, Church JT, et al. Avalon catheters in pediatric patients requiring ECMO: Placement and migration problems. J Pediatr Surg. 2018;53:159–62.

57.

Kanji HD, Chouldechova A, Harvey C, O'dea E, Faulkner G, Peek G. Safety and outcomes of mobile ecmo using a bicaval dual-stage venous catheter. ASAIO J. 2017;63:351–5.PubMed

58.

Lorusso R, Gelsomino S, Parise O, et al. Neurologic injury in adults supported with veno-venous extracorporeal membrane oxygenation for respiratory failure: Findings from the extracorporeal life support organization database. Crit Care Med. 2017;45:1389–97.PubMed

59.

Heller A, Dollerschell J, Burk J, Haines H, Kozinn J. Safety of intensivist-led bedside decannulation of internal jugular bi-caval dual-lumen veno-venous extracorporeal membrane oxygenation cannulas and report of technique. Anaesthesiol Intensive Ther. 2016;48:211–4.PubMed

Titel: Overview of the bicaval dual lumen cannula
verfasst von: Vanessa Marie Bazan
Evan Michael Taylor
Tyler Michael Gunn
Joseph Bertram Zwischenberger
Publikationsdatum: 31.03.2020
Verlag: Springer Singapore
Erschienen in: Indian Journal of Thoracic and Cardiovascular Surgery / Ausgabe Sonderheft 2/2021
Print ISSN: 0970-9134
Elektronische ISSN: 0973-7723
DOI: https://doi.org/10.1007/s12055-020-00932-1

Neu im Fachgebiet Chirurgie

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Medizinstudium Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren.

Recycling im OP – möglich, aber teuer

05.05.2024 DCK 2024 Kongressbericht

Auch wenn sich Krankenhäuser nachhaltig und grün geben – sie tragen aktuell erheblich zu den CO₂-Emissionen bei und produzieren jede Menge Müll. Ein Pilotprojekt aus Bonn zeigt, dass viele Op.-Abfälle wiederverwertet werden können.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Sonderheft 2/2021

Extracorporeal membrane oxygenation—a moving target

Extracorporeal membrane oxygenation

Pathophysiology of respiratory failure and physiology of gas exchange during ECMO

Extracorporeal membrane oxygenation—the good, the bad and the ugly (for want of a “few dollars more”): and would “a fistful of dollars” make any difference?

The challenges of venoarterial extracorporeal membrane oxygenation for postcardiotomy cardiogenic shock

Renal replacement therapy during extracorporeal membrane oxygenation

Update Chirurgie