• Perfusion · Nov 2017

    Case Reports

    Refractory cardiac arrest, inferior vena cava agenesis and extracorporeal cardiopulmonary resuscitation: a demanding combination.

    • Sébastien Colombier, Pierre Demondion, Nadia Bouabdallaoui, Guillaume Lebreton, and Pascal Leprince.
    • Department of Thoracic and Cardiovascular Surgery, La Pitié-Salpêtrière Hospital, Paris, France.
    • Perfusion. 2017 Nov 1; 32 (8): 695-697.

    AbstractInferior vena cava abnormalities or agenesis had to be suspected in front of technical difficulties during venous catheterization. In the setting of extracorporeal life support and during chest compressions, femoral vascular access is the easiest, most efficient and, perhaps, the first approach for a successful extracorporeal cardiopulmonary resuscitation. In the case of inferior vena cava agenesis leading to cannulation failure and/or complications, the use of the right internal jugular vein for salvage venous cannulation is a potential life-saving strategy.

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