Pulmonary artery cannulation during venovenous extracorporeal membrane oxygenation: An alternative to manage refractory hypoxemia and right ventricular dysfunction.

Autor: Rojas-Velasco G; Cardiovascular Critical Care Unit. Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico., Carmona-Levario P; Interventional Cardiology Department. Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico., Manzur-Sandoval D; Cardiovascular Critical Care Unit. Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico., Lazcano-Díaz E; Cardiovascular Critical Care Unit. Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico., Damas-de Los Santos F; Interventional Cardiology Department. Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
Jazyk: angličtina
Zdroj: Respiratory medicine case reports [Respir Med Case Rep] 2022 Jul 09; Vol. 38, pp. 101704. Date of Electronic Publication: 2022 Jul 09 (Print Publication: 2022).
DOI: 10.1016/j.rmcr.2022.101704
Abstrakt: Venovenous extracorporeal membrane oxygenation (ECMO) has become a rescue therapy for acute respiratory distress syndrome (ARDS) secondary to COVID-19 for patients who are refractory to conventional therapy. However, this therapy comes with complications, and alternative cannulation strategies are needed to overcome these difficulties. In this article, we present a case of venovenous ECMO presenting with refractory hypoxemia and right ventricular dysfunction, which were corrected by cannulating the pulmonary artery. This situation is rarely reported in literature and may constitute an alternative for managing these patients.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2022 The Authors.)
Databáze: MEDLINE