Percutaneous removal using Perclose ProGlide closure devices versus surgical removal for weaning after percutaneous cannulation for venoarterial extracorporeal membrane oxygenation

Journal of Vascular Surgery
Ji-Won HwangSeung-Hyuk Choi

Abstract

The removal of arterial cannulas using a Perclose device (Abbott Vascular, Clonmel, Tipperary, Ireland) has not been reported in patients undergoing venoarterial extracorporeal membrane oxygenation (ECMO). We investigated the procedural outcomes and complications of percutaneous device closure vs surgical repair for hemostatic control of the arterial access site in weaning from venoarterial ECMO. Between September 2012 and December 2014, 115 patients with ECMO weaned by percutaneous or surgical access were enrolled. The percutaneous technique used two ProGlide devices (Abbott Vascular) by direct puncture of an arterial cannula at the time of weaning off ECMO. The primary outcomes were composite complications of open repair at the insertion site, limb ischemia after removal of the arterial cannula, removal site infection, pseudoaneurysm, distal part embolization, and 10 minutes or more manual compression at the weaning site. The percutaneous technique was performed on 56 patients, and the surgical exposure technique was performed on 59. Technical success was not significantly different between the percutaneous and surgical groups (85.7% vs 86.4%; P = 1.0) although the procedure duration (17.15 ± 9.38 minutes vs 64.33 ± 31.67 min...Continue Reading

References

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Citations

May 5, 2020·European Heart Journal. Acute Cardiovascular Care·Xavier BemtgenDawid L Staudacher
Sep 12, 2020·Future Cardiology·Armando Del PreteFrancesco Versaci
Feb 23, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Quentin PellencYves Castier
Nov 16, 2018·Intensive Care Medicine·Pichoy DanialGuillaume Lebreton
Aug 1, 2019·Korean Circulation Journal·Min Suk ChoiYang Hyun Cho
Apr 29, 2020·The Journal of Vascular Access·Shek Yin AuGeorge Wing Yiu Ng
Nov 24, 2020·The Thoracic and Cardiovascular Surgeon·Ali El-Sayed AhmadFarhad Bakhtiary
Apr 4, 2021·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Lowell LeowKollengode Ramanathan
Jul 29, 2021·JTCVS Techniques·Aakash ShahUNKNOWN University of Maryland Medical Center Extracorporeal Membrane Oxygenation (UMMC ECMO) Group
Nov 10, 2020·Journal of Vascular Surgery Cases and Innovative Techniques·Dimitrios MiserlisIraklis I Pipinos
Oct 17, 2021·The Thoracic and Cardiovascular Surgeon·Udo BoekenStephan Ensminger

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