Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case Report

The femoral vein is frequently used for central venous access during extracorporeal membrane oxygenation (ECMO). Accidental cannulation of the ascending lumbar vein (ALV) during ECMO has rarely been reported. Hemorrhage related to venous rupture, or solid organ injury can occur depending on the c...

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Main Authors: Eui Hyun Yu, Jung Won Kim
Format: Article
Language:English
Published: The Korean Society of Radiology 2025-05-01
Series:Journal of the Korean Society of Radiology
Subjects:
Online Access:https://doi.org/10.3348/jksr.2024.0092
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author Eui Hyun Yu
Jung Won Kim
author_facet Eui Hyun Yu
Jung Won Kim
author_sort Eui Hyun Yu
collection DOAJ
description The femoral vein is frequently used for central venous access during extracorporeal membrane oxygenation (ECMO). Accidental cannulation of the ascending lumbar vein (ALV) during ECMO has rarely been reported. Hemorrhage related to venous rupture, or solid organ injury can occur depending on the course of the large-bore catheter. Ultrasonographic or fluoroscopic guidance helps ensure correct placement. Nevertheless, if accidental cannulation occurs, endovascular management can be considered a treatment option. We present the case of a 78-year-old man with an ECMO catheter malpositioned through the left ALV, which was removed with tract embolization.
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publisher The Korean Society of Radiology
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spelling doaj-art-a284442a9c384f47a1c5fefadd32fb6e2025-08-20T02:17:26ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-05-01863413418https://doi.org/10.3348/jksr.2024.0092Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case ReportEui Hyun YuJung Won KimThe femoral vein is frequently used for central venous access during extracorporeal membrane oxygenation (ECMO). Accidental cannulation of the ascending lumbar vein (ALV) during ECMO has rarely been reported. Hemorrhage related to venous rupture, or solid organ injury can occur depending on the course of the large-bore catheter. Ultrasonographic or fluoroscopic guidance helps ensure correct placement. Nevertheless, if accidental cannulation occurs, endovascular management can be considered a treatment option. We present the case of a 78-year-old man with an ECMO catheter malpositioned through the left ALV, which was removed with tract embolization.https://doi.org/10.3348/jksr.2024.0092ascending lumbar veinabdominal radiographyendovascular proceduresextracorporeal membrane oxygenation
spellingShingle Eui Hyun Yu
Jung Won Kim
Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case Report
Journal of the Korean Society of Radiology
ascending lumbar vein
abdominal radiography
endovascular procedures
extracorporeal membrane oxygenation
title Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case Report
title_full Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case Report
title_fullStr Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case Report
title_full_unstemmed Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case Report
title_short Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case Report
title_sort endovascular management for accidental cannulation of the left ascending lumbar vein with an extracorporeal membrane oxygenation catheter a case report
topic ascending lumbar vein
abdominal radiography
endovascular procedures
extracorporeal membrane oxygenation
url https://doi.org/10.3348/jksr.2024.0092
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