TY - JOUR
AU - Ohira, Suguru
AB - BackgroundWe describe a technique to assess blood flow distal to the decannulation site after deployment of Perclose ProGlide (Abbott Vascular, Abbott Park, Ill) in patients on femoral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support.TechniqueAn antegrade distal perfusion catheter was placed in all patients, and decannulation was primarily performed at bedside (N = 11/12). With the VA-ECMO circuit switched off, a needle was inserted into the arterial tubing, passed through the femoral arterial cannula into the artery. The arterial cannula was removed over a wire and the previously placed Proglide Perclose sutures were secured. Back bleeding from the antegrade distal perfusion catheter, confirmed using a three-way connector, indicated blood flow to the superficial femoral artery. This was followed by confirmation of blood flow to the lower leg using a Doppler ultrasound. Hemostasis of the antegrade perfusion catheter was achieved through manual compression. ResultsWe implemented this technique in 12 patients with a technical success rate of 100%. There were no ipsilateral leg ischemia, bleeding, pseudoaneurysm, or infection after decannulation.ConclusionsThis technique allows prompt assessment of blood flow to the distal leg immediately following arterial decannulation.
TI - Practical approach to confirm femoral artery patency after percutaneous closure for veno-arterial extracorporeal membrane oxygenation decannulation
JF - Perfusion
DO - 10.1177/02676591231220820
DA - 2024-11-01
UR - https://www.deepdyve.com/lp/sage/practical-approach-to-confirm-femoral-artery-patency-after-j1ut0clIP0
SP - 1545
EP - 1548
VL - 39
IS - 8
DP - DeepDyve
ER -