Abstract
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is a form of extracorporeal life support that provides total gas exchange (CO2 and O2) within the central venous circulation. The bicaval dual lumen cannula (DLC) is an option for patients requiring respiratory support with VV-ECMO. The catheter is inserted via the internal jugular vein into the superior and inferior vena cava, drains blood into the ECMO circuit for gas exchange, and then returns arterialized blood to the right heart for circulation. The DLC facilitates physical therapy, ambulation, and early extubation. This chapter will review the uses, advantages, and unique complications of the DLC.
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Dr. Zwischenberger has the following to disclose: he receives royalties for a patent licensed to Avalon/Maquet for the Avalon Elite double lumen cannula, he is the recipient of grant funding from the NIH, he is a consultant on the Cytosorbents, Inc. Cardiac Advisory Board, and he is a partner in WZ-Biotech. Vanessa M. Bazan has nothing to disclose. Evan M. Taylor has nothing to disclose. Dr. Gunn has nothing to disclose.
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Bazan, V.M., Taylor, E.M., Gunn, T.M. et al. Overview of the bicaval dual lumen cannula. Indian J Thorac Cardiovasc Surg 37 (Suppl 2), 232–240 (2021). https://doi.org/10.1007/s12055-020-00932-1
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DOI: https://doi.org/10.1007/s12055-020-00932-1