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22.03.2016 | Case Report | Ausgabe 3/2016

Journal of Artificial Organs 3/2016

Safe ECMO femoral decannulation by placement of inferior vena cava filter via internal jugular vein

Zeitschrift:
Journal of Artificial Organs > Ausgabe 3/2016
Autoren:
Luigi Castagna, Elena Maggioni, Anna Coppo, Barbara Cortinovis, Veronica Meroni, Simone Sosio, Francesco Vacirca, Davide Leni, Leonello Avalli
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s10047-016-0892-y) contains supplementary material, which is available to authorized users.

Abstract

Veno-arterial extracorporeal membrane oxygenation (ECMO) is a lifesaving treatment in patients with cardiogenic shock or cardiac arrest caused by massive pulmonary embolism. In these patients, positioning an inferior vena cava filter is often advisable, especially if deep venous thrombosis is not resolved at the time of the ECMO suspension. Moreover, in ECMO patients, a high incidence of deep venous thrombosis at the site of venous cannulation has been reported, and massive pulmonary embolism following ECMO decannulation has been described. Nonetheless, an inferior vena cava filter cannot be positioned as long as an ECMO cannula is inside the inferior vena cava. Thus, we developed a strategy to allow placement of an inferior vena cava filter through the internal jugular concurrently with the removal of the femoral venous ECMO cannula. In two women supported by veno-arterial ECMO for cardiac arrest secondary to pulmonary embolism, this novel approach allowed for safe ECMO decannulation.

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Zusatzmaterial
Supplementary material 1 (DOC 66 kb)
10047_2016_892_MOESM1_ESM.doc
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