Inserting a VA-ECMO cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitation
Abstract Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been utilized to treat massive pulmonary embolism (PE) accompanied by cardiac arrest or refractory cardiogenic shock. Our team opted for a femoral-femoral approach for vascular cannulation, using drainage and return cannulas in...
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| Language: | English |
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BMC
2024-12-01
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| Series: | International Journal of Emergency Medicine |
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| Online Access: | https://doi.org/10.1186/s12245-024-00789-w |
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| author | Genhua Mu Rongliang Xu Yiyun Wang Chun Pan Jianfeng Xie |
| author_facet | Genhua Mu Rongliang Xu Yiyun Wang Chun Pan Jianfeng Xie |
| author_sort | Genhua Mu |
| collection | DOAJ |
| description | Abstract Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been utilized to treat massive pulmonary embolism (PE) accompanied by cardiac arrest or refractory cardiogenic shock. Our team opted for a femoral-femoral approach for vascular cannulation, using drainage and return cannulas in the common femoral vein and artery, respectively. However, femoral venous cannulation can be limited or challenging due to the presence of thrombus in the inferior vena cava (IVC), making the insertion of the drainage cannula via the femoral vein difficult. We present the case of a patient with massive PE who underwent aspiration thrombectomy and insertion of an IVC filter, followed by the initiation of VA-ECMO for cardiac arrest. We successfully inserted a femoral venous return ECMO cannula through the inferior vena cava filter during extracorporeal cardiopulmonary resuscitation. The patient stabilized with these interventions and ultimately achieved a favorable outcome with normal neurological status. |
| format | Article |
| id | doaj-art-496d1b032f9b4eb3af3bc8861592f3f4 |
| institution | OA Journals |
| issn | 1865-1380 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj-art-496d1b032f9b4eb3af3bc8861592f3f42025-08-20T01:59:42ZengBMCInternational Journal of Emergency Medicine1865-13802024-12-011711510.1186/s12245-024-00789-wInserting a VA-ECMO cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitationGenhua Mu0Rongliang Xu1Yiyun Wang2Chun Pan3Jianfeng Xie4Department of Critical Care Medicine, Zhongda Hospital, Southeast UniversityDepartment of Critical Care Medicine, Yancheng No.1 People’s HospitalDepartment of Critical Care Medicine, Zhongda Hospital, Southeast UniversityDepartment of Critical Care Medicine, Sichuan Academy of Medical Sciences, Sichuan People’s HospitalDepartment of Critical Care Medicine, Zhongda Hospital, Southeast UniversityAbstract Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been utilized to treat massive pulmonary embolism (PE) accompanied by cardiac arrest or refractory cardiogenic shock. Our team opted for a femoral-femoral approach for vascular cannulation, using drainage and return cannulas in the common femoral vein and artery, respectively. However, femoral venous cannulation can be limited or challenging due to the presence of thrombus in the inferior vena cava (IVC), making the insertion of the drainage cannula via the femoral vein difficult. We present the case of a patient with massive PE who underwent aspiration thrombectomy and insertion of an IVC filter, followed by the initiation of VA-ECMO for cardiac arrest. We successfully inserted a femoral venous return ECMO cannula through the inferior vena cava filter during extracorporeal cardiopulmonary resuscitation. The patient stabilized with these interventions and ultimately achieved a favorable outcome with normal neurological status.https://doi.org/10.1186/s12245-024-00789-wCase reportVA-ECMOInferior vena cava filterExtracorporeal cardiopulmonary resuscitationPulmonary embolism |
| spellingShingle | Genhua Mu Rongliang Xu Yiyun Wang Chun Pan Jianfeng Xie Inserting a VA-ECMO cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitation International Journal of Emergency Medicine Case report VA-ECMO Inferior vena cava filter Extracorporeal cardiopulmonary resuscitation Pulmonary embolism |
| title | Inserting a VA-ECMO cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitation |
| title_full | Inserting a VA-ECMO cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitation |
| title_fullStr | Inserting a VA-ECMO cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitation |
| title_full_unstemmed | Inserting a VA-ECMO cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitation |
| title_short | Inserting a VA-ECMO cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitation |
| title_sort | inserting a va ecmo cannula through an inferior vena cava filter during extracorporeal cardiopulmonary resuscitation |
| topic | Case report VA-ECMO Inferior vena cava filter Extracorporeal cardiopulmonary resuscitation Pulmonary embolism |
| url | https://doi.org/10.1186/s12245-024-00789-w |
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