Wang-Zwische Double Lumen Cannula—Toward a Percutaneous and Ambulatory Paracorporeal Artificial Lung

@article{Wang2008WangZwischeDL,
  title={Wang-Zwische Double Lumen Cannula—Toward a Percutaneous and Ambulatory Paracorporeal Artificial Lung},
  author={Dongfang Wang and Xiaoqin Zhou and Xiaojun Liu and Bill Sidor and James E. Lynch and Joseph Bertram Zwischenberger},
  journal={ASAIO Journal},
  year={2008},
  volume={54},
  pages={606-611}
}
We are developing a high performance double lumen cannula (DLC) for a minimally invasive, ambulatory and percutaneous paracorporeal artificial lung (PAL). The Wang-Zwische (W-Z) DLC was designed for percutaneous insertion into the Internal Jugular (IJ) vein with a drainage lumen open to both the superior vena cava (SVC) and the inferior vena cava (IVC) maximizing venous drainage. A separate collapsible but nondistensible membrane infusion lumen open to the right atrium (RA) achieves minimal… 
Pressure-guided positioning of bicaval dual-lumen catheters for venovenous extracorporeal gas exchange
TLDR
The described technique may help to position bicaval dual-lumen catheters for venovenous extracorporeal gas exchange without the use of transesophageal echocardiography or contrast media during fluoroscopy.
Development of a Double-Lumen Cannula for a Percutaneous RVAD
TLDR
The authors' DLC-based pRVAD system is feasible for percutaneous right heart and respiratory assistance through a single cannulation and can be easily placed prophylactically during left ventricular assist device implantation and removed as needed without additional open chest procedures.
Long-term support with an ambulatory percutaneous paracorporeal artificial lung.
Insertion of bicaval dual-lumen cannula via the left internal jugular vein for extracorporeal membrane oxygenation.
TLDR
This case series demonstrates the feasibility of placing a bicaval dual-lumen catheter in the left internal jugular vein for the initiation of venovenous ECMO when the right internaljugular vein is inaccessible.
Bedside Emergency Percutaneous Extracorporeal Membrane Oxygenator with Bicaval Dual-Lumen Cannula.
TLDR
This case reports a dual-lumen cannula insertion in an emergency setting, with minimal image support, and confirms the efficacy and the safety of VV-ECMO in the treatment of post-operative acute respiratory failure.
Hemodynamics of neonatal double lumen cannula malposition
TLDR
Rotational or translational movement of dual lumen cannula is the determining factor for atrial hemodynamics, venous capturing efficiency, blood residence time, and oxygenated blood delivery.
Overview of the bicaval dual lumen cannula
TLDR
This chapter will review the uses, advantages, and unique complications of the bicaval dual lumen cannula, an option for patients requiring respiratory support with VV-ECMO.
...
...

References

SHOWING 1-10 OF 29 REFERENCES
Preliminary Experiment with a Newly Developed Double Balloon, Double Lumen Catheter for Extracorporeal Life Support Vascular Access
TLDR
Results suggest that a high bypass flow may not be necessarily required in terms of oxygen delivery to systemic circulation when the DBDL catheter was used as an ECLS vascular access and Recirculation and oxygen transfer of artificial lung with or without balloon inflation during VVECLS were studied.
Improved oxygenation with reduced recirculation during venovenous ECMO: comparison of two catheters
TLDR
The findings indicate that the OriGen catheter resulted in a reduction of recirculation, thereby resulting in an improvement in oxygenation while on VV ECMO, and represents a design that could be used for neonatal and/or pediatric ECMO.
Venovenous extracorporeal membrane oxygenation (ECMO) using a double-lumen cannula.
TLDR
Using a single cannula with a double-lumen (DLC) in the right atrium for simultaneous drainage and infusion of blood, VV ECMO provided total respiratory support for six apneic puppies for 3 h each and Hemorrhage was noted in the myocardium after use of DLC VVECMO.
An ambulatory pulmonary and right heart assist device (OxyRVAD) in an ovine survival model.
Paracorporeal Artificial Lung: Perioperative Management for Survival Study in Sheep
TLDR
Incremental improvements in the PAL and the anesthetic and perioperative care have resulted in reliable survival in adult sheep allowing for artificial lung development.
IVOX with gradual permissive hypercapnia: a new management technique for respiratory failure.
TLDR
To quantify the additive effects of gradual permissive hypercapnia and IVOX on gas exchange and reduction of airway pressures, 13 adult sheep underwent tracheostomy and severe smoke inhalation injury.
...
...