Jorik Simons, Barend Mees, Graeme MacLaren, John F Fraser, Akram M Zaaqoq, Sung-Min Cho, Bhavesh M Patel, Daniel Brodie, Jan Bělohlávek, Mirko Belliato, Jae-Seung Jung, Leonardo Salazar, Paolo Meani, Silvia Mariani, Michele Di Mauro, Demetris Yannopoulos, Lars Mikael Broman, Yih-Sharng Chen, Jordi Riera, Walther Nka van Mook, Roberto Lorusso
Limb ischaemia is a clinically relevant complication of venoarterial extracorporeal membrane oxygenation (VA ECMO) with femoral artery cannulation. No selective distal perfusion or other advanced techniques were used in the past to maintain adequate distal limb perfusion. A more recent trend is the shift from the reactive or emergency management to the pro-active or prophylactic placement of a distal perfusion cannula to avoid or reduce limb ischaemia-related complications. Multiple alternative cannulation techniques to the distal perfusion cannula have been developed to maintain distal limb perfusion, including end-to-side grafting, external or endovascular femoro-femoral bypass, retrograde limb perfusion (e...
April 2024: Perfusion