A dedicated Y-shaped percutaneous ECMO cannula for femoral 2-in-1 vascular access during high-risk procedures.
Thomas ModineFlavien VincentCédric DelhayeEric Van BellePublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
High-risk transcatheter procedures requiring hemodynamic support are growing and require multiple vascular access that may be challenging in cases of peripheral artery disease or lack of radial access and exposure to a higher risk of vascular complications. We report the novel utilization of a Y-shaped arterial extracorporeal membrane oxygenation (ECMO) cannula used as a single femoral access to perform percutaneous coronary intervention (PCI) and aortography during high-risk transcatheter aortic valve replacement (TAVR). The utilization of this 2-in-1 ECMO cannula may simplify vascular access and reduce vascular and bleeding complications during high-risk ECMO-supported transcatheter procedures.
Keyphrases
- extracorporeal membrane oxygenation
- transcatheter aortic valve replacement
- acute respiratory distress syndrome
- respiratory failure
- percutaneous coronary intervention
- aortic valve
- aortic stenosis
- peripheral artery disease
- acute myocardial infarction
- coronary artery disease
- acute coronary syndrome
- mechanical ventilation
- atrial fibrillation
- antiplatelet therapy
- coronary artery bypass grafting
- ultrasound guided
- heart failure
- intensive care unit
- left ventricular
- ejection fraction