Percutaneous Cannulation for Extracorporeal Life Support

Abstract

With proper vessel visualization, exposure and cannulation, and accurate cannula placement, optimal flows and minimal complication rates can be achieved, rendering percutaneous extracorporeal life support a safe procedure.

Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: our single-center experience

“…Particularly in a study, the cannulation sites were standardized by Ganslmeier et al [20] with the right femoral vein being used for drainage and the right internal jugular vein serving to return the arterialized blood. However, we mostly used bifemoral veins for cannulation in our patients (24/33).…”

Venovenous extracorporeal membrane oxygenation for acute lung failure in adults

“…18 Cannulation sites were standardized, with the right femoral vein being used for drainage and the right internal jugular vein serving to return the arterialized blood. 19 Although the femoral vein was almost always accessible, central intravenous catheters or hemodialysis catheters sometimes hindered placement of the return cannula. In these patients, cannulation of the right subclavian vein was an acceptable alternative, whereas the opposite femoral vein was not.…”

Percutaneous Cannulation for Extracorporeal Membrane Oxygenation by Intensivists

“…Cannulation for ECLS has traditionally been performed with an open surgical vascular access procedure by cardiothoracic, vascular, pediatric, and other surgical disciplines (10). With newer vascular cannulas and insertion kits, peripheral vascular access can now be accomplished with percutaneous cannulation (10)(11)(12)(13), extending the realm of cannulation to intensivists, cardiologists, interventional radiologists, and other nonsurgical disciplines trained in percutaneous vascular access.…”