PMID- 32652726 OWN - NLM STAT- MEDLINE DCOM- 20201030 LR - 20201030 IS - 1540-8191 (Electronic) IS - 0886-0440 (Linking) VI - 35 IP - 8 DP - 2020 Aug TI - Peripheral femoral venoarterial extracorporeal membrane oxygenation as bridge to heart-lung transplant omne iter incipit primus. PG - 2077-2080 LID - 10.1111/jocs.14779 [doi] AB - Heart-lung transplant (HLT) is a widely accepted modality for certain patients with advanced and refractory cardiopulmonary disease. Some of these patients are critically ill on the transplant waiting list, and venoarterial extracorporeal membrane oxygenation (VA-ECMO) can be used as a bridge to transplantation. Although the experience with ECMO as a bridge to lung transplant is promising, there is limited evidence to use ECMO as a bridge to HLT. Femoral cannulation remains a concern for ambulation given the risk of bleeding and cannula complications despite studies reporting its safety. We present a case of a 56-year-old male with interstitial lung disease and severe secondary pulmonary hypertension, who was successfully bridged to HLT with ambulatory femoral VA-ECMO. CI - (c) 2020 Wiley Periodicals LLC. FAU - Orozco-Hernandez, Erik J AU - Orozco-Hernandez EJ AD - Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama. FAU - Melnikoff, Brett AU - Melnikoff B AUID- ORCID: 0000-0003-1927-2551 AD - Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama. FAU - Lusby, Megan AU - Lusby M AD - Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, Alabama. FAU - Tallaj, Jose AU - Tallaj J AD - Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama. FAU - Hoopes, Charles W AU - Hoopes CW AD - Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama. LA - eng PT - Case Reports DEP - 20200711 PL - United States TA - J Card Surg JT - Journal of cardiac surgery JID - 8908809 SB - IM MH - Extracorporeal Membrane Oxygenation/*methods MH - Femoral Artery MH - *Heart-Lung Transplantation MH - Humans MH - Hypertension, Pulmonary/etiology/*therapy MH - Lung Diseases, Interstitial/complications/*therapy MH - *Lung Transplantation MH - Male MH - Middle Aged MH - Severity of Illness Index MH - Treatment Outcome MH - Waiting Lists OTO - NOTNLM OT - ECMO OT - heart-lung transplant OT - transplant EDAT- 2020/07/12 06:00 MHDA- 2020/10/31 06:00 CRDT- 2020/07/12 06:00 PHST- 2020/07/12 06:00 [pubmed] PHST- 2020/10/31 06:00 [medline] PHST- 2020/07/12 06:00 [entrez] AID - 10.1111/jocs.14779 [doi] PST - ppublish SO - J Card Surg. 2020 Aug;35(8):2077-2080. doi: 10.1111/jocs.14779. Epub 2020 Jul 11.