Simple technique of distal leg perfusion during heart transplant in patients with preoperative veno-arterial extracorporeal membrane oxygenation support
Direct heart transplant from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support is challenging. Continuation of postoperative VA-ECMO support may be required in the setting of primary graft dysfunction or severe vasoplegia. We describe a simple technique to perfuse the ipsilateral l...
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| Veröffentlicht in: | Perfusion 2023-04, Vol.38 (3), p.473-476 |
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| container_title | Perfusion |
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| creator | Ohira, Suguru Pan, Stephen Levine, Avi Aggarwal-Gupta, Chhaya Lanier, Gregg M Gass, Alan L Spielvogel, David Kai, Masashi |
| description | Direct heart transplant from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support is challenging. Continuation of postoperative VA-ECMO support may be required in the setting of primary graft dysfunction or severe vasoplegia. We describe a simple technique to perfuse the ipsilateral leg of an arterial ECMO cannula during heart transplant while the ECMO circuit is turned off but maintaining the arterial cannula and distal perfusion catheter in place. This technique minimizes the number of intraoperative procedures with a minimal risk of leg ischemia, and provides a smooth transition to postoperative VA-ECMO support if necessary. |
| doi_str_mv | 10.1177/02676591211064721 |
| format | Article |
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This technique minimizes the number of intraoperative procedures with a minimal risk of leg ischemia, and provides a smooth transition to postoperative VA-ECMO support if necessary.</description><subject>Cannulae</subject><subject>Catheterization - methods</subject><subject>Circuits</subject><subject>Extracorporeal Membrane Oxygenation - methods</subject><subject>Heart transplantation</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Leg</subject><subject>Medical instruments</subject><subject>Membranes</subject><subject>Oxygenation</subject><subject>Perfusion</subject><subject>Retrospective Studies</subject><issn>0267-6591</issn><issn>1477-111X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1TAQhS0EoreFB2CDLLFhk2I7iR0vUQUUqRKLthK7yInH97pK7GA7_XkTHpe5ugUkUFeWPd85Z8ZDyBvOTjlX6gMTUslWc8E5k40S_BnZ8EapinP-_TnZ7OvVHjgixznfMMaapqlfkqO60W0nOrYhPy_9vExAC4y74H-sQKOj1udiJjrBli6Q3Jp9DNSuyYct3YFJhZZkQl4mEwr1gS6meAgl0ztfdnRJEFGGb7dAbyHEChWQPDrCPQrHmJaYAK8zzAMaYeb9wxYCKjAnrwuWyyvywpkpw-vH84Rcf_50dXZeXXz78vXs40U11rIrlbZ1O-hGq0G3bjTgdFNbpWsrJXNWM8EsKNcaM1o7uFoMfOBSNiMT1hkpu_qEvD_4Lini-Ln0s88jTDgbxDX3QuKPtnUnNKLv_kFv4poCdtcL1amulYpLpPiBGlPMOYHrl-Rnkx56zvr92vr_1oaat4_O6zCD_aP4vScETg9ANlv4G_u04y_7YKR9</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Ohira, Suguru</creator><creator>Pan, Stephen</creator><creator>Levine, Avi</creator><creator>Aggarwal-Gupta, Chhaya</creator><creator>Lanier, Gregg M</creator><creator>Gass, Alan L</creator><creator>Spielvogel, David</creator><creator>Kai, Masashi</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0247-865X</orcidid></search><sort><creationdate>202304</creationdate><title>Simple technique of distal leg perfusion during heart transplant in patients with preoperative veno-arterial extracorporeal membrane oxygenation support</title><author>Ohira, Suguru ; 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| fulltext | fulltext |
| identifier | ISSN: 0267-6591 |
| ispartof | Perfusion, 2023-04, Vol.38 (3), p.473-476 |
| issn | 0267-6591 1477-111X |
| language | eng |
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| source | MEDLINE; SAGE Journals Online |
| subjects | Cannulae Catheterization - methods Circuits Extracorporeal Membrane Oxygenation - methods Heart transplantation Humans Ischemia Leg Medical instruments Membranes Oxygenation Perfusion Retrospective Studies |
| title | Simple technique of distal leg perfusion during heart transplant in patients with preoperative veno-arterial extracorporeal membrane oxygenation support |
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