Right Ventricular Loop Indicating Malposition of J-wire Introducer for Double Lumen Bicaval Venovenous Extracorporeal Membrane Oxygenation (VV ECMO) Cannula - 09/01/14
, Con Manganas, MBBS, MS, FRACS b, Tejo Kapalli, MBBS, MD c, Sheen Peeceeyen, MBBS, MCh FRACS dRiassunto |
The key to safe placement of a bicaval double lumen cannula for Venovenous Extracorporeal Membrane Oxygenation (VV ECMO) is to visualise correct guide wire placement in the inferior vena cava (IVC), thus aiding subsequent correct advancement of the cannula. Transoesophageal (TOE) and transthoracic (TTE) echocardiography, as well as fluoroscopy, have been described as aiding imaging techniques. We report a case of guide wire malposition into the right ventricle, despite echocardiographic confirmation of guide wire position deep into the IVC. This malposition, if undetected, may have resulted in potential life threatening complications.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Venovenous Extracorporeal Membrane Oxygenation, Bicaval double lumen ‘Avalon’ cannula, Transoesophageal and transthoracic echocardiography, Malposition
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Vol 23 - N° 1
P. e4-e7 - gennaio 2014 Ritorno al numero
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