PMID- 34513867
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210914
IS  - 2296-858X (Print)
IS  - 2296-858X (Electronic)
IS  - 2296-858X (Linking)
VI  - 8
DP  - 2021
TI  - Double Distal Perfusion Catheters for Severe Limb Ischemia on the IABP Side in 
      Patients Who Received Femoro-Femoral VA-ECMO With IABP.
PG  - 692399
LID - 10.3389/fmed.2021.692399 [doi]
LID - 692399
AB  - Background: Limited research is available on the pattern of double distal 
      perfusion catheters in patients on venoarterial extracorporeal membrane 
      oxygenation (VA-ECMO) with an intra-aortic balloon pump(IABP). Here, we compared 
      the outcomes of a double distal perfusion catheter and conventional treatment in 
      patients who received VA-ECMO with IABP and had severe lower limb ischemia on the 
      IABP side. Methods: We reviewed the data of 15 adult patients with postcardiotomy 
      cardiogenic shock who received VA-ECMO via femoral cannulation combined with an 
      IABP in the contralateral artery that was complicated with severe acute limb 
      ischemia (ALI) on the same side as the IABP between January 2004 and December 
      2016. Patients underwent symptomatic treatment (conventional group, n = 9) and 
      double distal perfusion catheterization treatment (DDPC group, n = 6). ALI was 
      monitored using near-infrared spectroscopy placed on both calves after double 
      distal perfusion catheters. The outcomes were compared. Results: All 6 patients 
      who underwent double distal perfusion catheters were successfully decannulated 
      without the development of osteofascial compartment syndrome, amputation, or 
      bleeding and infection of the double distal perfusion catheters. The number of 
      patients who weaned from extracorporeal membrane oxygenation successfully in the 
      DDPC and conventional groups was 6 (100%) and 3 (33%, p = 0.028), respectively. 
      The in-hospital mortality rates were 17% and 89% for the DDPC and conventional 
      groups, respectively (p = 0.011). Conclusions: DDPC can be considered a strategy 
      for severe limb ischemia on the IABP side in patients who received femoro-femoral 
      VA-ECMO with IABP.
CI  - Copyright (c) 2021 Xin, Wang, Tian, Hou, Wang, Wang, Jia and Hou.
FAU - Xin, Meng
AU  - Xin M
AD  - Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
FAU - Wang, Liangshan
AU  - Wang L
AD  - Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
FAU - Tian, Xiaqiu
AU  - Tian X
AD  - Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
FAU - Hou, Dengbang
AU  - Hou D
AD  - Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
FAU - Wang, Hong
AU  - Wang H
AD  - Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
FAU - Wang, Jiangang
AU  - Wang J
AD  - Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
FAU - Jia, Ming
AU  - Jia M
AD  - Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
FAU - Hou, Xiaotong
AU  - Hou X
AD  - Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
LA  - eng
PT  - Journal Article
DEP - 20210825
PL  - Switzerland
TA  - Front Med (Lausanne)
JT  - Frontiers in medicine
JID - 101648047
PMC - PMC8424002
OTO - NOTNLM
OT  - distal perfusion catheter
OT  - extracorporeal membrane oxygenation
OT  - intra-aortic balloon pump
OT  - osteofascial compartment syndrome
OT  - severe limb ischemia
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/09/14 06:00
MHDA- 2021/09/14 06:01
PMCR- 2021/08/25
CRDT- 2021/09/13 06:56
PHST- 2021/04/08 00:00 [received]
PHST- 2021/08/04 00:00 [accepted]
PHST- 2021/09/13 06:56 [entrez]
PHST- 2021/09/14 06:00 [pubmed]
PHST- 2021/09/14 06:01 [medline]
PHST- 2021/08/25 00:00 [pmc-release]
AID - 10.3389/fmed.2021.692399 [doi]
PST - epublish
SO  - Front Med (Lausanne). 2021 Aug 25;8:692399. doi: 10.3389/fmed.2021.692399. 
      eCollection 2021.