Complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationCentral MessagePerspective
Objectives: To evaluate the clinical outcomes and perioperative complications associated with complete percutaneous decannulation of femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO) with the MANTA closure device. Methods: This is a retrospective analysis of a single surgeon consecu...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250720306441 |
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| author | Aakash Shah, MD Mehrdad Ghoreishi, MD Bradley S. Taylor, MD Shahab Toursavadkohi, MD David J. Kaczorowski, MD Chetan Pasrija, MD Douglas Tran, MD Mohamed Abdullah, MD, PhD Ronson J. Madathil, MD Kristopher B. Deatrick, MD Michael A. Mazzeffi, MD Ashley Menne, MD Jay Menaker, MD James S. Gammie, MD Bartley P. Griffith, MD |
| author_facet | Aakash Shah, MD Mehrdad Ghoreishi, MD Bradley S. Taylor, MD Shahab Toursavadkohi, MD David J. Kaczorowski, MD Chetan Pasrija, MD Douglas Tran, MD Mohamed Abdullah, MD, PhD Ronson J. Madathil, MD Kristopher B. Deatrick, MD Michael A. Mazzeffi, MD Ashley Menne, MD Jay Menaker, MD James S. Gammie, MD Bartley P. Griffith, MD |
| author_sort | Aakash Shah, MD |
| collection | DOAJ |
| description | Objectives: To evaluate the clinical outcomes and perioperative complications associated with complete percutaneous decannulation of femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO) with the MANTA closure device. Methods: This is a retrospective analysis of a single surgeon consecutive series of 14 patients at a single center who underwent decannulation from VA-ECMO, 10 of whom underwent a percutaneous method of femoral cannula removal. Results: After a mean duration of VA-ECMO support of 7.4 ± 3.8 days, all 10 patients, with arterial cannulas ranging in size from 17 to 21 Fr, underwent percutaneous decannulation with the MANTA closure device, with immediate hemostasis. One patient had acute lower limb ischemia that was recognized intraoperatively and successfully treated with suction embolectomy. Two patients had a pseudoaneurysm at the distal perfusion catheter site recognized on perioperative imaging studies, one resolving with observation and the other necessitating thrombin injection. One patient had a hematoma that resolved with observation. Conclusions: Percutaneous decannulation from VA-ECMO using the MANTA large-bore vascular closure device is feasible and results in immediate hemostasis with excellent angiographic results. |
| format | Article |
| id | doaj-art-1618a92c74384e03a8cb6c19e59b302d |
| institution | Kabale University |
| issn | 2666-2507 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-1618a92c74384e03a8cb6c19e59b302d2025-08-20T04:01:57ZengElsevierJTCVS Techniques2666-25072021-04-016758110.1016/j.xjtc.2020.11.005Complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationCentral MessagePerspectiveAakash Shah, MD0Mehrdad Ghoreishi, MD1Bradley S. Taylor, MD2Shahab Toursavadkohi, MD3David J. Kaczorowski, MD4Chetan Pasrija, MD5Douglas Tran, MD6Mohamed Abdullah, MD, PhD7Ronson J. Madathil, MD8Kristopher B. Deatrick, MD9Michael A. Mazzeffi, MD10Ashley Menne, MD11Jay Menaker, MD12James S. Gammie, MD13Bartley P. Griffith, MD14Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Md; Address for reprints: David J. Kaczorowski, MD, Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, 110 S Paca St, 7th Floor, Baltimore, MD 21201.Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdProgram in Trauma, R. Adams Cowley Shock Trauma Center, Baltimore, MdProgram in Trauma, R. Adams Cowley Shock Trauma Center, Baltimore, MdProgram in Trauma, R. Adams Cowley Shock Trauma Center, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MdObjectives: To evaluate the clinical outcomes and perioperative complications associated with complete percutaneous decannulation of femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO) with the MANTA closure device. Methods: This is a retrospective analysis of a single surgeon consecutive series of 14 patients at a single center who underwent decannulation from VA-ECMO, 10 of whom underwent a percutaneous method of femoral cannula removal. Results: After a mean duration of VA-ECMO support of 7.4 ± 3.8 days, all 10 patients, with arterial cannulas ranging in size from 17 to 21 Fr, underwent percutaneous decannulation with the MANTA closure device, with immediate hemostasis. One patient had acute lower limb ischemia that was recognized intraoperatively and successfully treated with suction embolectomy. Two patients had a pseudoaneurysm at the distal perfusion catheter site recognized on perioperative imaging studies, one resolving with observation and the other necessitating thrombin injection. One patient had a hematoma that resolved with observation. Conclusions: Percutaneous decannulation from VA-ECMO using the MANTA large-bore vascular closure device is feasible and results in immediate hemostasis with excellent angiographic results.http://www.sciencedirect.com/science/article/pii/S2666250720306441mechanical circulatory supportextracorporeal membrane oxygenationpercutaneous vascular closure |
| spellingShingle | Aakash Shah, MD Mehrdad Ghoreishi, MD Bradley S. Taylor, MD Shahab Toursavadkohi, MD David J. Kaczorowski, MD Chetan Pasrija, MD Douglas Tran, MD Mohamed Abdullah, MD, PhD Ronson J. Madathil, MD Kristopher B. Deatrick, MD Michael A. Mazzeffi, MD Ashley Menne, MD Jay Menaker, MD James S. Gammie, MD Bartley P. Griffith, MD Complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationCentral MessagePerspective JTCVS Techniques mechanical circulatory support extracorporeal membrane oxygenation percutaneous vascular closure |
| title | Complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationCentral MessagePerspective |
| title_full | Complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationCentral MessagePerspective |
| title_fullStr | Complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationCentral MessagePerspective |
| title_full_unstemmed | Complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationCentral MessagePerspective |
| title_short | Complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationCentral MessagePerspective |
| title_sort | complete percutaneous decannulation from femoral venoarterial extracorporeal membrane oxygenationcentral messageperspective |
| topic | mechanical circulatory support extracorporeal membrane oxygenation percutaneous vascular closure |
| url | http://www.sciencedirect.com/science/article/pii/S2666250720306441 |
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