PMID- 32843269
OWN - NLM
STAT- MEDLINE
DCOM- 20210520
LR  - 20210520
IS  - 1532-8422 (Electronic)
IS  - 1053-0770 (Linking)
VI  - 35
IP  - 6
DP  - 2021 Jun
TI  - Suspected Lower Extremity Ischemia After End-to-Side Femoral Arterial Grafting 
      for VA-ECMO.
PG  - 1824-1829
LID - S1053-0770(20)30748-5 [pii]
LID - 10.1053/j.jvca.2020.07.075 [doi]
AB  - Lower extremity ischemic complications are frequently encountered after femoral 
      cannulation for venoarterial extracorporeal membrane oxygenation (VA-ECMO). Many 
      are attributed to mechanical obstruction of distal arterial blood flow related to 
      intraluminal positioning of the arterial cannula. Routine use of distal perfusion 
      catheters is ineffective at eliminating the development of these serious 
      complications. Side- arm grafting instead of direct arterial cannulation is 
      suggested as an alternative. Here, the authors present a case wherein a patient 
      developed suspected lower extremity ischemia from hyperperfusion after femoral 
      VA-ECMO cannulation during use of an arterial side- arm graft, calling into 
      question the benefits of this cannulation strategy.
CI  - Copyright (c) 2020 Elsevier Inc. All rights reserved.
FAU - Woodward, Elliott L
AU  - Woodward EL
AD  - Department of Anesthesia, UCSF Medical Center, San Francisco, CA. Electronic 
      address: elliott.woodward@ucsf.edu.
FAU - Shen, Tao
AU  - Shen T
AD  - Department of Anesthesia, University of Southern California, Los Angeles, CA.
FAU - Ramsay, James G
AU  - Ramsay JG
AD  - Department of Anesthesia, UCSF Medical Center, San Francisco, CA.
LA  - eng
PT  - Case Reports
DEP - 20200730
PL  - United States
TA  - J Cardiothorac Vasc Anesth
JT  - Journal of cardiothoracic and vascular anesthesia
JID - 9110208
SB  - IM
MH  - *Catheterization, Peripheral/adverse effects
MH  - *Extracorporeal Membrane Oxygenation/adverse effects
MH  - Femoral Artery/diagnostic imaging/surgery
MH  - Humans
MH  - Ischemia/diagnostic imaging/etiology
MH  - Lower Extremity/diagnostic imaging/surgery
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Venoarterial extracorporeal membrane oxygenation
OT  - compartment syndrome
OT  - hyperperfusion syndrome
OT  - ischemia
OT  - venous hypertension
EDAT- 2020/08/28 06:00
MHDA- 2021/05/21 06:00
CRDT- 2020/08/27 06:00
PHST- 2020/05/31 00:00 [received]
PHST- 2020/07/26 00:00 [revised]
PHST- 2020/07/27 00:00 [accepted]
PHST- 2020/08/28 06:00 [pubmed]
PHST- 2021/05/21 06:00 [medline]
PHST- 2020/08/27 06:00 [entrez]
AID - S1053-0770(20)30748-5 [pii]
AID - 10.1053/j.jvca.2020.07.075 [doi]
PST - ppublish
SO  - J Cardiothorac Vasc Anesth. 2021 Jun;35(6):1824-1829. doi: 
      10.1053/j.jvca.2020.07.075. Epub 2020 Jul 30.