A Simple Technique for the Prevention of Lower Limb Ischemia During Femoral Veno-arterial Cardiopulmonary Support

Overview

Journal J Cardiovasc Surg (Torino)

Specialties Cardiology & Vascular Diseases
General Surgery

Date 1996 Dec 1

PMID 9016966

Citations 7

Authors

N Yoshimura

K Ataka

K Nakagiri

T Azami

M Yoshida

C Yamashita

M Okada

Affiliations

Soon will be listed here.

Abstract

Objective: We describe a simple technique to prevent the lower limb ischemia during femoral veno-arterial cardiopulmonary support (CPS).

Patients: Between July 1994 and September 1995, five patients underwent the insertion of femoral veno-arterial CPS with distal limb perfusion for the treatment of circulatory collapse after cardiac surgery.

Methods: After CPS is established, the ipsilateral superficial femoral artery (SFA) is punctured downward with a 14-gauge Teflon catheter and connected to the side port of the membrane oxygenator.

Results: None of the patients were complicated by lower limb ischemia for up to 77 hrs on CPS with distal limb perfusion.

Conclusions: Active perfusion through a 14-gauge Teflon catheter downstream to the ipsilateral SFA is effective in preventing lower limb ischemia during prolonged femoral veno-arterial CPS after cardiac surgery.

Citing Articles

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[Use of ECMO in adult patients with cardiogenic shock: a position paper of the Austrian Society of Cardiology].

Pichler P, Antretter H, Dunser M, Eschertzhuber S, Gottardi R, Heinz G Med Klin Intensivmed Notfmed. 2015; 110(6):407-20.

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