Extracorporeal Membrane Oxygenation in Pediatric Patients with Respiratory Failure: Early Experience with the Double- Lumen Cannula Over 2 Years

Venovenous extra corporeal life support in an infant with foreign body aspiration: A case report

“…Cannulation in smaller children can be challenging, especially in children weighing less than 10 kg, as cannulation techniques and experience are needed due to the small vessel size [ 6 ]. Percutaneous dual-lumen cannulation is becoming increasingly popular because of its advantages: fewer recirculation and cannula kinking events [ [6] , [7] , [8] ]. Thus, jugular veins are commonly accessed for VV-ECMO in these children due to smaller femoral veins [ 6 , 9 , 10 ].…”

Extracorporeal membrane oxygenation in children: An update of a single tertiary center 11-Year experience from Croatia

“…[25][26] Although the two-cannula setup is considered as the primary approach in VV-ECMO at our Center, we have noticed its disadvantages when used in small children, such as longer cannulation time, higher sepsis rate, and femoral vein size mismatch for the drainage cannula. [27][28] Additionally, patients on standard dual-cannula VV-ECMO are exposed to long-term immobility and intubation. 26 To offset these problems and thereby decrease the associated morbidity and mortality, the Avalon® cannula was devised.…”

Bi-Caval Dual Lumen Catheter for Pediatric Patients Undergoing Venovenous Extracorporeal Membrane Oxygenation

“…An avalon catheter allows for both awake and ambulate pediatric patients during VV-ECMO. 1 2 However, it has a risk of cardiac tamponade due to right ventricular rupture. Therefore, TEE-guided cannulation is recommended for reducing the risk of cardiac tamponade.…”