Use of a Reperfusion Cannula for Acute Limb Ischemia in a Patient with Carotid Artery Extracorporeal Membrane Oxygenation Cannulation.

Autor:	Parrado RH; From the Division of Pediatric Surgery, Department of Surgery, Medical University of South Carolina, Charleston, South Carolina., Cardona M; Pediatric ECMO Department, Medical University of South Carolina, Charleston, South Carolina., Garred C; Pediatric ECMO Department, Medical University of South Carolina, Charleston, South Carolina., Tecklenburg FW; Division of Critical Care, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina., Veeraswamy RK; Division of Vascular Surgery, Department of Surgery, Medical University of South Carolina, Charleston, South Carolina., Lesher AP; From the Division of Pediatric Surgery, Department of Surgery, Medical University of South Carolina, Charleston, South Carolina., Walz AA; Division of Critical Care, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Jazyk:	angličtina
Zdroj:	ASAIO journal (American Society for Artificial Internal Organs : 1992) [ASAIO J] 2022 Jan 01; Vol. 68 (1), pp. e8-e11.
DOI:	10.1097/MAT.0000000000001405
Abstrakt:	Acute limb ischemia is a rare but potentially devastating event in a critically ill patient. In the pediatric population, limb ischemia is usually related to iatrogenic vascular damage and arterial thrombus formation secondary to arterial catheter placement. Children who have undergone femoral artery cannulation for venoarterial extracorporeal membrane oxygenation (VA-ECMO) are particularly at risk for this complication. In these cases, there have been reports of the successful use of a percutaneous limb reperfusion cannula to prevent or treat limb ischemia. We present a case of an 18 month old female who required VA-ECMO via carotid artery cannulation for viral myocarditis and subsequently developed acute lower limb ischemia related to a thrombus from an indwelling femoral arterial catheter in place for hemodynamic monitoring. This case highlights the usage of a distal reperfusion cannula and extracorporeal membrane oxygenation (ECMO) circuit for a novel purpose, which coupled with near infrared spectroscopy (NIRS) monitoring successfully re-established blood flow to the ischemic limb. Competing Interests: Disclosure: The authors have no conflicts of interest to report. (Copyright © ASAIO 2021.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu