A Simple Technique of Distal Limb Perfusion During Prolonged Femoro‐Femoral Cannulation

@article{Madershahian2006AST,
  title={A Simple Technique of Distal Limb Perfusion During Prolonged Femoro‐Femoral Cannulation},
  author={Navid Madershahian and Ragi Nagib and Jens Wippermann and Justus Thomas Strauch and Thorsten Wahlers},
  journal={Journal of Cardiac Surgery},
  year={2006},
  volume={21}
}
Abstract  Objective: Cannulation of the femoral vessels for cardiopulmonary support is a common approach for many cardiac procedures as well as access of choice for many emergency bypass systems such as extracorporeal membrane oxygenation. A serious complication of prolonged femoral cannulation remains the ischemic injury of the distal limb. Subjects: To minimize the incidence of ischemia in the cannulated leg, we have begun to provide antegrade femoral blood flow by placing a vascular… 
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A novel percutaneous technique for distal limb perfusion in the face of femoral artery occlusion secondary to extracorporeal membrane oxygenation (ECMO) cannula placement in a 59-year-old man who presented with an inferior wall myocardial infarction and a large ventricular septal defect.
A simple technique to prevent limb ischemia during veno-arterial ECMO using the femoral artery: the posterior tibial approach
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Cannulation of the posterior tibial artery is a simple technique to reperfuse the lower extremity during VA ECMO and should be inserted within 6 hours of ECMO initiation to avoid irreversible ischemic damage.
Limb ischemia during femoral cannulation for cardiopulmonary support.
Pediatric Femoral Arterial Cannulations in Extracorporeal Membrane Oxygenation: A Review and Strategies for Optimization.
TLDR
A literature review for pediatric ECMO cannulation, complications, and femoral artery repair in pediatric patients is performed and a review of techniques for femoral cannula placement, decannulation, and arterial repair are presented to help minimize and ameliorate complications related to cannulation.
Rapid peripheral arterial cannulation for extracorporeal life support with unimpaired distal perfusion.
Limb ischemia after common femoral artery cannulation for venoarterial extracorporeal membrane oxygenation: an unresolved problem.
Femoral cannulation: a safe vascular access option for cardiopulmonary bypass in minimally invasive cardiac surgery
TLDR
Selective femoral cannulation provides a safe alternative to aortoatrial cannulation for cardiopulmonary bypass and is especially important when performing minimally invasive cardiac surgery.
A Novel Technique of Subclavian Artery Cannulation for Venoarterial Extracorporeal Membrane Oxygenation.
  • U. Kervan, S. Kocabeyoglu, M. Pac
  • Medicine
    Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation
  • 2017
TLDR
The protocol for venoarterial extracorporeal membrane oxygenation cannulation uses the subclavian artery with a side graft for arterial access and provides a safe and perhaps improved means for providing veno arterial extracellular membranes oxygenation support.
Routine Use of Distal Arterial Perfusion in Pediatric Femoral Venoarterial Extracorporeal Membrane Oxygenation
TLDR
A single-center, retrospective review of pediatric patients supported with femoral VA ECMO from January 2005 to November 2015 shows feasibility of superficial femoral artery (SFA) access in pediatric patients and notes fewer ischemic complications with prophylactic DPC placement.
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