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Transition of femoral-jugular to dual-stage left subclavian without discontinuation of extracorporeal membrane oxygenation
  • +1
  • Ernest Chan,
  • Patrick Chan,
  • Takashi Harano,
  • Pablo Sanchez
Ernest Chan
University of Pittsburgh Medical Center
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Patrick Chan
University of Pittsburgh Medical Center
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Takashi Harano
University of Pittsburgh Medical Center
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Pablo Sanchez
University of Pittsburgh Medical Center
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Peer review status:ACCEPTED

15 May 2020Submitted to Journal of Cardiac Surgery
06 Jun 2020Submission Checks Completed
06 Jun 2020Assigned to Editor
07 Jun 2020Reviewer(s) Assigned
21 Jun 2020Review(s) Completed, Editorial Evaluation Pending
22 Jun 2020Editorial Decision: Revise Minor
29 Jun 20201st Revision Received
02 Jul 2020Submission Checks Completed
02 Jul 2020Assigned to Editor
05 Jul 2020Reviewer(s) Assigned
05 Jul 2020Review(s) Completed, Editorial Evaluation Pending
06 Jul 2020Editorial Decision: Accept

Abstract

Extracorporeal membrane oxygenation (ECMO) is a technology that has allowed for further cardiopulmonary support in the setting of respiratory failure refractory to mechanical ventilation. While it has evolved since its first description, one area of improvement continues to be its implementation. With advancements in cannulation techniques, in recent years, there has been a plethora of new cannulas that has been introduced to the market. For urgent venous-venous cannulation, the right internal jugular vein along with either femoral veins remain the most utilized strategy due to minimal need for imaging support. This allows for safe bedside cannulation. However, as the number of days of ECMO support continue to increase bridging patients to an easier to ambulate and more comfortable cannulation strategy is preferred. Therefore, we describe a method for bridging right jugular-femoral cannulation to left subclavian placement of the CrescentTM Dual Lumen Catheter without interrupting ECMO support.