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Alternative position of cannulae in veno-venous extracorporeal membrane oxygenation for maintaining sufficient flow support

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Abstract

Blood flow disturbance of veno-venous extracorporeal membrane oxygenation (VV-ECMO) can be a risk factor of weaning failure. We report an alternative position of cannulae of VV-ECMO which can maintain blood flow. The recirculation rate could be controlled by adjusting a position of return cannula using dilutional ultrasound monitoring.

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Data availability

All data generated or analyzed during this study are included in this published article.

Abbreviations

ECMO:

Extracorporeal membrane oxygenation

ELSA:

Extracorporeal life support assurance

LPM:

Liter per minute

RA:

Right atrium

SVC:

Superior vena cava

VV:

Veno-venous

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Authors and Affiliations

  1. Pulmonary and Allergy Division, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea

    Ui Won Ko

  2. Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, 21, Namdong-Daero 774 Beon-Gil, Namdong-Gu, Incheon, 21565, South Korea

    Chang Hyu Choi, Chul-Hyun Park & Seok In Lee

Authors
  1. Ui Won Ko
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  2. Chang Hyu Choi
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  3. Chul-Hyun Park
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  4. Seok In Lee
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Contributions

UWK: conception and design, analyses of data, drafting the manuscript. CHC collect and analyses of data. CHP drafting the manuscript and final approval. SIL analyses of data, drafting the manuscript and final approval. All authors read and approved the final manuscripts.

Corresponding author

Correspondence to Seok In Lee.

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No conflict of interest to declare.

Ethical approval and consent to participate

The case report was approved by the institutional ethics committee/Institutional Review Board of the Gil Medical Center (No: GDIRB2020-111). The requirement for informed consent was waived because of the retrospective nature of the study.

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Ko, U.W., Choi, C.H., Park, CH. et al. Alternative position of cannulae in veno-venous extracorporeal membrane oxygenation for maintaining sufficient flow support. Gen Thorac Cardiovasc Surg 71, 369–372 (2023). https://doi.org/10.1007/s11748-023-01924-9

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  • DOI: https://doi.org/10.1007/s11748-023-01924-9

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