Simple technique of distal leg perfusion during heart transplant in patients with preoperative veno-arterial extracorporeal membrane oxygenation support

被引：3

作者：

Ohira, Suguru ^{[1
]}

Pan, Stephen ^{[2
]}

Levine, Avi ^{[2
]}

Aggarwal-Gupta, Chhaya ^{[2
]}

Lanier, Gregg M. ^{[2
]}

Gass, Alan L. ^{[2
]}

Spielvogel, David ^{[1
]}

Kai, Masashi ^{[1
]}

机构：

[1] New York Med Coll, Westchester Med Ctr, Dept Surg, Div Cardiothorac Surg, 100 Woods Rd,Macy Pavil, Valhalla, NY 10595 USA

[2] New York Med Coll, Westchester Med Ctr, Dept Cardiol, Valhalla, NY 10595 USA

来源：

PERFUSION-UK | 2023年 / 38卷 / 03期

关键词：

Femoral artery; veno-arterial extracorporeal membrane oxygenation; limb ischemia; heart transplant; leg perfusion;

D O I：

10.1177/02676591211064721

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Direct heart transplant from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support is challenging. Continuation of postoperative VA-ECMO support may be required in the setting of primary graft dysfunction or severe vasoplegia. We describe a simple technique to perfuse the ipsilateral leg of an arterial ECMO cannula during heart transplant while the ECMO circuit is turned off but maintaining the arterial cannula and distal perfusion catheter in place. This technique minimizes the number of intraoperative procedures with a minimal risk of leg ischemia, and provides a smooth transition to postoperative VA-ECMO support if necessary.

引用

收藏

页码：473 / 476

页数：4

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