PMID- 34330069
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210819
IS  - 2210-2612 (Print)
IS  - 2210-2612 (Electronic)
IS  - 2210-2612 (Linking)
VI  - 85
DP  - 2021 Aug
TI  - Utilization of ECMO in vascular surgery: A presentation of two cases.
PG  - 106141
LID - S2210-2612(21)00643-X [pii]
LID - 10.1016/j.ijscr.2021.106141 [doi]
LID - 106141
AB  - INTRODUCTION: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a 
      form of temporary mechanical circulatory support commonly used during 
      cardiothoracic interventions. Malperfusion during complex vascular procedures 
      remains a significant risk that may potentially lead to multiple complications. 
      Here, we report two cases highlighting the efficacy of VA-ECMO in both planned 
      and emergent vascular interventions. PRESENTATION OF CASE: In our first case, 
      VA-ECMO was used to support an 82-year-old male during a high-risk 
      thoracoabdominal aortic aneurysm repair. Our second case details an emergent 
      pulmonary embolectomy in which VA-ECMO was used as a bridge to cardiopulmonary 
      bypass. In both cases, the procedures were well-tolerated, and the patients were 
      discharged 17 days postoperatively. DISCUSSION: VA-ECMO has been increasingly 
      used as a form of post-operative circulatory support following cardiothoracic and 
      vascular interventions. However, only few instances of perioperative VA-ECMO use 
      have been reported in the field of vascular surgery. CONCLUSION: The presented 
      cases highlight that the perioperative use of VA-ECMO may be a viable modality 
      for required perfusion during complex planned or emergent vascular procedures.
CI  - Copyright (c) 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.
FAU - Shoukry, Mira
AU  - Shoukry M
AD  - Department of Surgery, Division of Vascular Surgery, Mayo Clinic, Jacksonville, 
      FL, USA.
FAU - Jorgensen, Matthew S
AU  - Jorgensen MS
AD  - Department of Surgery, Division of Vascular Surgery, Mayo Clinic, Jacksonville, 
      FL, USA.
FAU - Solak, Sila
AU  - Solak S
AD  - Department of Surgery, Division of Vascular Surgery, Mayo Clinic, Jacksonville, 
      FL, USA.
FAU - Pham, Si M
AU  - Pham SM
AD  - Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USA.
FAU - Martin, Archer K
AU  - Martin AK
AD  - Department of Anesthesiology, Mayo Clinic, Jacksonville, FL, USA.
FAU - Farres, Houssam
AU  - Farres H
AD  - Department of Surgery, Division of Vascular Surgery, Mayo Clinic, Jacksonville, 
      FL, USA. Electronic address: Farres.Houssam@mayo.edu.
LA  - eng
PT  - Journal Article
DEP - 20210629
PL  - Netherlands
TA  - Int J Surg Case Rep
JT  - International journal of surgery case reports
JID - 101529872
PMC - PMC8329508
OTO - NOTNLM
OT  - Aneurysm
OT  - Case report
OT  - ECMO
OT  - Embolism
OT  - Vascular surgery
COIS- None declared.
EDAT- 2021/07/31 06:00
MHDA- 2021/07/31 06:01
PMCR- 2021/06/29
CRDT- 2021/07/30 20:28
PHST- 2021/05/26 00:00 [received]
PHST- 2021/06/17 00:00 [revised]
PHST- 2021/06/24 00:00 [accepted]
PHST- 2021/07/31 06:00 [pubmed]
PHST- 2021/07/31 06:01 [medline]
PHST- 2021/07/30 20:28 [entrez]
PHST- 2021/06/29 00:00 [pmc-release]
AID - S2210-2612(21)00643-X [pii]
AID - 106141 [pii]
AID - 10.1016/j.ijscr.2021.106141 [doi]
PST - ppublish
SO  - Int J Surg Case Rep. 2021 Aug;85:106141. doi: 10.1016/j.ijscr.2021.106141. Epub 
      2021 Jun 29.