PMID- 33709989
OWN - NLM
STAT- MEDLINE
DCOM- 20220201
LR  - 20230821
IS  - 1538-943X (Electronic)
IS  - 1058-2916 (Linking)
VI  - 68
IP  - 1
DP  - 2022 Jan 1
TI  - Use of a Reperfusion Cannula for Acute Limb Ischemia in a Patient with Carotid 
      Artery Extracorporeal Membrane Oxygenation Cannulation.
PG  - e8-e11
LID - 10.1097/MAT.0000000000001405 [doi]
AB  - Acute limb ischemia is a rare but potentially devastating event in a critically 
      ill patient. In the pediatric population, limb ischemia is usually related to 
      iatrogenic vascular damage and arterial thrombus formation secondary to arterial 
      catheter placement. Children who have undergone femoral artery cannulation for 
      venoarterial extracorporeal membrane oxygenation (VA-ECMO) are particularly at 
      risk for this complication. In these cases, there have been reports of the 
      successful use of a percutaneous limb reperfusion cannula to prevent or treat 
      limb ischemia. We present a case of an 18 month old female who required VA-ECMO 
      via carotid artery cannulation for viral myocarditis and subsequently developed 
      acute lower limb ischemia related to a thrombus from an indwelling femoral 
      arterial catheter in place for hemodynamic monitoring. This case highlights the 
      usage of a distal reperfusion cannula and extracorporeal membrane oxygenation 
      (ECMO) circuit for a novel purpose, which coupled with near infrared spectroscopy 
      (NIRS) monitoring successfully re-established blood flow to the ischemic limb.
CI  - Copyright (c) ASAIO 2021.
FAU - Parrado, Raphael H
AU  - Parrado RH
AUID- ORCID: 0000-0003-0388-3948
AD  - From the Division of Pediatric Surgery, Department of Surgery, Medical University 
      of South Carolina, Charleston, South Carolina.
FAU - Cardona, Monika
AU  - Cardona M
AD  - Pediatric ECMO Department, Medical University of South Carolina, Charleston, 
      South Carolina.
FAU - Garred, Charles
AU  - Garred C
AD  - Pediatric ECMO Department, Medical University of South Carolina, Charleston, 
      South Carolina.
FAU - Tecklenburg, Frederick W
AU  - Tecklenburg FW
AD  - Division of Critical Care, Department of Pediatrics, Medical University of South 
      Carolina, Charleston, South Carolina.
FAU - Veeraswamy, Ravi K
AU  - Veeraswamy RK
AD  - Division of Vascular Surgery, Department of Surgery, Medical University of South 
      Carolina, Charleston, South Carolina.
FAU - Lesher, Aaron P
AU  - Lesher AP
AD  - From the Division of Pediatric Surgery, Department of Surgery, Medical University 
      of South Carolina, Charleston, South Carolina.
FAU - Walz, Alice A
AU  - Walz AA
AD  - Division of Critical Care, Department of Pediatrics, Medical University of South 
      Carolina, Charleston, South Carolina.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - ASAIO J
JT  - ASAIO journal (American Society for Artificial Internal Organs : 1992)
JID - 9204109
SB  - IM
MH  - Cannula
MH  - Carotid Arteries
MH  - *Catheterization, Peripheral
MH  - Child
MH  - *Extracorporeal Membrane Oxygenation/adverse effects
MH  - Female
MH  - Femoral Artery/diagnostic imaging/surgery
MH  - Humans
MH  - Infant
MH  - Ischemia/etiology
MH  - Lower Extremity
MH  - Reperfusion
MH  - Retrospective Studies
COIS- Disclosure: The authors have no conflicts of interest to report.
EDAT- 2021/03/13 06:00
MHDA- 2022/02/02 06:00
CRDT- 2021/03/12 12:30
PHST- 2021/03/13 06:00 [pubmed]
PHST- 2022/02/02 06:00 [medline]
PHST- 2021/03/12 12:30 [entrez]
AID - 00002480-202201000-00022 [pii]
AID - 10.1097/MAT.0000000000001405 [doi]
PST - ppublish
SO  - ASAIO J. 2022 Jan 1;68(1):e8-e11. doi: 10.1097/MAT.0000000000001405.