Practical approach to confirm femoral artery patency after percutaneous closure for veno-arterial extracorporeal membrane oxygenation decannulation.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Perfusion-Uk Pub Date : 2024-11-01 Epub Date: 2023-12-02 DOI:10.1177/02676591231220820

Vasiliki Gregory, Joshua B Goldberg, Abbas Haidry, Hasan Ahmad, Ameesh Isath, Masashi Kai, Suguru Ohira

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引用次数: 0

Abstract

Background: We describe a technique to assess blood flow distal to the decannulation site after deployment of Perclose ProGlide (Abbott Vascular, Abbott Park, Ill) in patients on femoral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support.

Technique: An antegrade distal perfusion catheter was placed in all patients, and decannulation was primarily performed at bedside (N = 11/12). With the VA-ECMO circuit switched off, a needle was inserted into the arterial tubing, passed through the femoral arterial cannula into the artery. The arterial cannula was removed over a wire and the previously placed Proglide Perclose sutures were secured. Back bleeding from the antegrade distal perfusion catheter, confirmed using a three-way connector, indicated blood flow to the superficial femoral artery. This was followed by confirmation of blood flow to the lower leg using a Doppler ultrasound. Hemostasis of the antegrade perfusion catheter was achieved through manual compression.

Results: We implemented this technique in 12 patients with a technical success rate of 100%. There were no ipsilateral leg ischemia, bleeding, pseudoaneurysm, or infection after decannulation.

Conclusions: This technique allows prompt assessment of blood flow to the distal leg immediately following arterial decannulation.

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经皮静脉-动脉体外膜氧合脱管术后确认股动脉通畅的实用方法。

背景:我们描述了一种评估Perclose ProGlide (Abbott Vascular, Abbott Park, Ill)在股静脉-动脉体外膜氧合(VA-ECMO)支持下患者部署后远端去管部位血流的技术。技术:所有患者均放置顺行远端灌注导管，主要在床边进行脱管(N = 11/12)。关闭VA-ECMO回路后，将一根针插入动脉管，穿过股动脉插管进入动脉。通过钢丝取出动脉插管，并固定先前放置的Proglide Perclose缝合线。顺行远端灌注导管背部出血，经三向接头确认，表明血流至股浅动脉。随后使用多普勒超声确认血液流向小腿。顺行灌注导管通过手压止血。结果:我们在12例患者中实施了该技术，技术成功率为100%。术后无同侧下肢缺血、出血、假性动脉瘤或感染。结论:该技术可以在动脉脱管后立即评估远端腿部的血流量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perfusion-Uk 医学-外周血管病

CiteScore

3.00

自引率

8.30%

发文量

203

审稿时长

6-12 weeks

期刊介绍： Perfusion is an ISI-ranked, peer-reviewed scholarly journal, which provides current information on all aspects of perfusion, oxygenation and biocompatibility and their use in modern cardiac surgery. The journal is at the forefront of international research and development and presents an appropriately multidisciplinary approach to perfusion science.