Feasibility of smaller arterial cannulas in venoarterial extracorporeal membrane oxygenation

The Journal of Thoracic and Cardiovascular Surgery
Hiroo TakayamaYoshifumi Naka

Abstract

To facilitate venoarterial extracorporeal membrane oxygenation (ECMO) insertion for cardiogenic shock, we recently adopted a strategy of using a 15F arterial cannula in all patients, rather than 1 designed to maximize flow. We aimed to compare the clinical outcomes of these 2 strategies. In this retrospective study, 101 consecutive patients supported with ECMO via femoral cannulation between March 2007 and March 2013 were divided into 2 groups: Group L (17F-24F arterial cannula to accommodate full flow [ie, cardiac index of 2.5 L/m(2)/min]; n = 51) and Group S (15F arterial cannula; n = 50). The primary outcomes of interest were patients' overall status at 24 hours of support and cannulation-related adverse events. There were no significant differences in patient demographics, etiology of cardiogenic shock, or severity of illness before ECMO initiation between the 2 groups. Group L had significantly higher ECMO flow than Group S (flow index at 24 hours: 2.2 ± 0.7 vs 1.7 ± 0.3 L/m(2)/min; P < .001). However, there was no significant difference in use of vasoactive medication/hemodynamic parameters/laboratory parameters. Group L had higher incidence of cannulation-related adverse events (35% vs 22% in Group S [P = .14]), particul...Continue Reading

References

Dec 13, 2005·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Fernando CasasWilliam A Smith
Oct 2, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael G GaiesJennifer C Hirsch
Nov 19, 2009·The New England Journal of Medicine·Mark S SlaughterUNKNOWN HeartMate II Investigators
Jul 8, 2010·The Journal of Thoracic and Cardiovascular Surgery·Ranjit JohnLyle D Joyce
Dec 21, 2010·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Andrew J BoyleJeffrey J Teuteberg
Nov 5, 2011·The Annals of Thoracic Surgery·Berhane WorkuHiroo Takayama
Nov 30, 2011·Journal of Cardiac Surgery·Michael S KoeckertHiroo Takayama
Aug 28, 2012·The New England Journal of Medicine·Holger ThieleUNKNOWN IABP-SHOCK II Trial Investigators
Aug 28, 2012·The New England Journal of Medicine·Christopher M O'Connor, Joseph G Rogers
Dec 19, 2012·Circulation·Patrick T O'GaraUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Dec 25, 2012·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Hiroo TakayamaYoshifumi Naka
May 7, 2013·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Matthew L PadenUNKNOWN ELSO Registry
Nov 14, 2013·European Heart Journal. Acute Cardiovascular Care·Chiara LazzeriSerafina Valente
Feb 28, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Erwan FlécherAlain Leguerrier
Apr 17, 2014·JAMA : the Journal of the American Medical Association·Susan A Glod
May 27, 2014·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinJames B Young

❮ Previous
Next ❯

Citations

Feb 15, 2016·General Thoracic and Cardiovascular Surgery·Shinichi FukuharaHiroo Takayama
Apr 13, 2018·Biomedizinische Technik. Biomedical Engineering·Svitlana StruninaPetr Ostadal
Feb 17, 2018·Intensive Care Medicine·Darryl AbramsUNKNOWN International ECMO Network (ECMONet) and The Extracorporeal Life Support Organization (ELSO)
Aug 7, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Sarah B CairoUNKNOWN American Pediatric Surgical Association Critical Care Committee
May 8, 2018·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Olutosin J AkanniHiroo Takayama
Aug 4, 2018·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Juwon KimJeong Hoon Yang
Feb 27, 2016·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Thompson Kehrl, David J Kaczorowski
Sep 15, 2020·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Amit SahaKoji Takeda
Oct 4, 2020·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Michael SalnaKoji Takeda
Aug 18, 2018·Current Cardiology Reports·Mathew Jose Chakaramakkil, Cumaraswamy Sivathasan
Aug 1, 2019·Critical Care : the Official Journal of the Critical Care Forum·Eleonora BonicoliniRoberto Lorusso
Nov 12, 2019·Perfusion·Yuri M GanushchakPatrick W Weerwind
Feb 23, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Quentin PellencYves Castier
Nov 11, 2017·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Martin GeyerThomas Münzel
Nov 16, 2018·Intensive Care Medicine·Pichoy DanialGuillaume Lebreton
Oct 26, 2018·Circulation. Heart Failure·Prashant RaoRobb D Kociol
Dec 15, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Angelo PisaniPatrick Nataf
Mar 29, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Emily L ChananMark E Nunnally
Jan 19, 2021·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Sameer K SinghKoji Takeda
Feb 5, 2021·Expert Review of Medical Devices·Christopher GaisendreesThorsten Wahlers
Dec 22, 2020·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Tomohiro NakajimaAkinobu Itoh
Feb 16, 2021·Journal of Pediatric Surgery·Alejandro V GarciaDaniel S Rhee
May 11, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michael SalnaKoji Takeda
May 11, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Mathew Jose Chakaramakkil, Cumaraswamy Sivathasan
Jul 29, 2021·JTCVS Techniques·Koji TakedaHiroo Takayama
Aug 2, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Carson WelkerHarish Ramakrishna
Jul 20, 2020·Lancet·Alain CombesDaniel Brodie
Apr 6, 2019·The Journal of Thoracic and Cardiovascular Surgery·Scott C DeRooKoji Takeda

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.

Antipsychotic-Induced Weight Gain

Antipsychotic-induced weight gain (aiwg) is a common adverse effect of this treatment, particularly with second-generation antipsychotics, and it is a major health problem around the world. Here are the latest discoveries pertaining to AIWG.