Abstract

The vascular cannulation step is of great importance for the effective and safe implementation of extracorporeal membrane oxygenation (ECMO) support. We experienced various problems associated with ECMO vascular cannulation (malposition, thrombosis, recannulation, collapse) in 3 patients who developed coronavirus disease-2019 acute respiratory distress syndrome and received veno-venous ECMO support, and here we share our experience in their management. Appropriate vascular cannula size, vascular cannula structure, selection of the vascular cannulation site, and precise vascular cannulation can make ECMO support more effective and reliable.

Keywords: ECMO, vascular, cannula, problem

References

  1. COVİD-19 Cases on ECMO in the ECMO registry, Available from: URL: https://www.elso.org/covid19. Acessed September 29.09.2021.
  2. Ramanathan K, Shekar K, Ling RR, Barbaro RP, Wong SN, Tan CS, et al. Extracorporeal membrane oxygenation for COVID-19: a systematic review and meta-analysis. Crit Care 2021;25:211.
  3. Combes A, Schmidt M, Hodgson CL, Fan E, Ferguson ND, Fraser JF, et al. Extracorporeal life support for adults with acute respiratory distress syndrome. Intensive Care Med 2020;46:2464-76.
  4. Abrams D, Bacchetta M, Brodie D. Recirculation in venovenous extracorporeal membrane oxygenation. ASAIO J 2015;61:115-21.
  5. Paula Nekic, Extra Corporeal Oxygenation (ECMO), Learning Package, CNE Liverpool, 2016. Available from: URL: http://www.iranecls.com/Files/iranecls//ECMO_Learning_package.pdf . Accessed November 17, 2022.
  6. Rupprecht L, Lunz D, Philipp A, Lubnow M, Schmid C. Pitfalls in percutaneous ECMO cannulation. Heart Lung Vessel 2015;7:320-6.
  7. Garg A, Goli H, Yazdanpanah F. Hypercoagulopathy in COVID-19, Deep Venous Thrombosis After Extra-Corporeal Membrane Oxygenation Therapy: A Case Report. J Med Cases 2021;12:226:9.
  8. Tonna JE, Abrams D, Brodie D, Greenwood JC, RUBIO MS, Jose A, et al. Management of Adult Patients Supported with Venovenous Extracorporeal Membrane Oxygenation (VV ECMO).  ASAIO Journal 2021;67:601-10.
  9. Sidebotham D, Allen SJ, McGeorge A, Ibbott N, Willcox T. Venovenous extracorporeal membrane oxygenation in adults: practical aspects of circuits, cannulae, and procedures. J Cardiothorac Vasc Anesth 2012;26:893-909.

How to cite?

1.
Aslan M, Yılmaz R, Sabaz MS, Çukurova Z. V-V ECMO Vascular Cannula Problems: 3 Case Report. Turk J Intensive Care. 2022;20(4):238-242. https://doi.org/10.4274/tybd.galenos.2022.05945