• Critical care clinics · Oct 2017

    Review

    Vascular Complications in Extracoporeal Membrane Oxygenation.

    • Kathleen M Lamb and Hitoshi Hirose.
    • Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104, USA. Electronic address: patinaras@gmail.com.
    • Crit Care Clin. 2017 Oct 1; 33 (4): 813-824.

    AbstractVenoarterial extracorporeal membrane oxygenation is a rescue therapy in patients with severe cardiopulmonary failure. Often, cannulation is done emergently and the femoral vessels are most readily accessible for venous and arterial access. Unfortunately, complications with arterial femoral access can lead to devastating complications, primarily related to limb ischemia. A coordinated protocol of diligent limb examination by trained intensive care unit staff, near infrared spectroscopy monitoring of limbs, and placement of a distal perfusion catheter at the time of femoral cannulation or when signs of ischemia develop, can lead to successful limb salvage.Copyright © 2017 Elsevier Inc. All rights reserved.

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