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- Kathleen M Lamb, Hitoshi Hirose, and Nicholas C Cavarocchi.
- Department of Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA.
- J Card Surg. 2013 Mar 1;28(2):190-2.
BackgroundThe most frequent limb complications from peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) are limb ischemia and localized bleeding. To minimize these risks, perfusion of the distal limb with peripheral percutaneous cannulation was done.TechniquePercutaneous cannulation with a distal perfusion port was performed in all patients. During the VA-ECMO, distal limb perfusion was monitored using near-infrared spectroscopy to assess tissue oxygenation. At the decannulation, patch angioplasty was performed to prevent the development of narrowing of the artery at the cannulation site.ConclusionsUsing our standard technique, we have not experienced any limb loss related to ischemia or bleeding.© 2013 Wiley Periodicals, Inc.
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