Insertion of Bicaval Dual-Lumen Cannula via the Left Internal Jugular Vein for Extracorporeal Membrane Oxygenation

被引：18

作者：

Abrams, Darryl ^{[2
]}

Brodie, Daniel ^{[2
]}

Javidfar, Jeffrey ^{[1
]}

Brenner, Keith ^{[2
]}

Wang, Dongfang ^{[3
]}

Zwischenberger, Joseph ^{[3
]}

Sonett, Joshua ^{[1
]}

Bacchetta, Matthew ^{[1
]}

机构：

[1] Columbia Univ, Med Ctr, New York Presbyterian Hosp, Div Cardiothorac Surg,Dept Surg, New York, NY 10032 USA

[2] Columbia Univ, Med Ctr, New York Presbyterian Hosp, Div Pulm Allergy & Crit Care,Dept Med, New York, NY 10032 USA

[3] Univ Kentucky, Dept Surg, Lexington, KY USA

来源：

ASAIO JOURNAL | 2012年 / 58卷 / 06期

关键词：

extracorporeal membrane oxygenation; cannulation;

D O I：

10.1097/MAT.0b013e31826feda5

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Venovenous extracorporeal membrane oxygenation (ECMO) can support gas exchange in patients with primary respiratory failure. Venovenous ECMO can be initiated through a single-site, dual-lumen cannula designed for insertion in the right internal jugular vein. We describe four cases of hypercapnic or hypoxemic respiratory failure, in which we performed single-site cannulation of the left internal jugular vein with 23 Fr or 27 Fr bicaval dual-lumen catheters when the right internal jugular vein was inaccessible because of either stenosis or thrombosis. The surgical approach for left-sided access is similar to the approach used for the right internal jugular vein. The left-sided approach resulted in equivalent blood flow and gas exchange compared with our previous experience with right-sided cannulation. This case series demonstrates the feasibility of placing a bicaval dual-lumen catheter in the left internal jugular vein for the initiation of venovenous ECMO when the right internal jugular vein is inaccessible. ASAIO Journal 2012;58:636-637.

引用

页码：636 / 637

页数：2

共 3 条

[1] Extracorporeal Membrane Oxygenation for ARDS in Adults [J].