Journal of Artificial Organs

, Volume 8, Issue 3, pp 206–209

Perfusion through the dorsalis pedis artery for acute limb ischemia secondary to an occlusive arterial cannula during percutaneous cardiopulmonary support

  • Naoyuki Kimura
  • Koji Kawahito
  • Satoshi Ito
  • Seiichiro Murata
  • Atushi Yamaguchi
  • Hideo Adachi
  • Takashi Ino
CASE REPORT

Abstract

Percutaneous cardiopulmonary support (PCPS) is a powerful resuscitation tool for patients in cardiogenic shock. The femoral artery is generally used for arterial access; however, vascular complications, particularly in atherosclerotic arteries, can occur. Although such complications occur infrequently, they can be fatal. We describe the case of a 75-year-old woman who required extended PCPS for cardiogenic shock secondary to coronary spasm after on-pump beating coronary artery bypass grafting. Limb ischemia occurred because of an occlusive cannula, and distal perfusion with a 20G elastic intravenous catheter inserted into the dorsalis pedis artery resolved the ischemia. The catheter was connected to the side port of an oxygenator and provided distal limb perfusion during PCPS. This technique appears to be useful in treating limb ischemia and may have application in patients with arterial occlusive disease who are dependent on mechanical support.

Key words

PCPS Limb ischemia Dorsalis pedis artery 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© The Japanese Society for Artificial Organs 2005

Authors and Affiliations

  • Naoyuki Kimura
    • 1
  • Koji Kawahito
    • 1
  • Satoshi Ito
    • 1
  • Seiichiro Murata
    • 2
  • Atushi Yamaguchi
    • 2
  • Hideo Adachi
    • 2
  • Takashi Ino
    • 2
  1. 1.Department of Cardiovascular SurgeryItabashi Chuo Medical CenterTokyoJapan
  2. 2.Department of Cardiovascular Surgery, Jichi Medical SchoolOmiya Medical CenterSaitamaJapan

Personalised recommendations