PMID- 36039213
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220831
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 14
IP  - 7
DP  - 2022 Jul
TI  - Percutaneous Decannulation for Venoarterial Extracorporeal Membrane Oxygenation 
      Using a Perclose ProGlide Closure Device and a Balloon Catheter Without On-Site 
      Cardiac Surgical Backup.
PG  - e27258
LID - 10.7759/cureus.27258 [doi]
LID - e27258
AB  - Surgical decannulation for venoarterial extracorporeal membrane oxygenation 
      (VA-ECMO) is recommended as a standard weaning strategy considering large-sized 
      cannulas (14-22 French) are inserted in VA-ECMO. However, we should be aware of 
      complications such as bleeding and infection when removing an arterial 
      cannula, especially in facilities without on-site cardiac surgical backup. 
      Percutaneous closure devices for femoral arterial access sites are currently 
      approved for the decannulation of a 10-French or smaller sheath. We reported a 
      case of successful weaning off from ECMO using a combination method of a balloon 
      catheter and a Perclose ProGlide closure device. We successfully removed the 
      arterial cannula using this technique for four ECMO-treated patients without 
      vascular complications or blood transfusion. Percutaneous decannulation by this 
      method could reduce the procedural time and adverse events and be safely 
      performed even in facilities without on-site cardiac surgical backup.
CI  - Copyright (c) 2022, Nakamura et al.
FAU - Nakamura, Tomohiro
AU  - Nakamura T
AD  - Cardiology, Saitama Citizens Medical Center, Saitama, JPN.
FAU - Murata, Shinya
AU  - Murata S
AD  - Internal Medicine, Saitama Citizens Medical Center, Saitama, JPN.
FAU - Tsuboi, Ken
AU  - Tsuboi K
AD  - Internal Medicine, Saitama Citizens Medical Center, Saitama, JPN.
FAU - Ishida, Takeshi
AU  - Ishida T
AD  - Internal Medicine, Saitama Citizens Medical Center, Saitama, JPN.
FAU - Momomura, Shin-Ichi
AU  - Momomura SI
AD  - Internal Medicine, Saitama Citizens Medical Center, Saitama, JPN.
LA  - eng
PT  - Case Reports
DEP - 20220725
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC9403234
OTO - NOTNLM
OT  - cardiogenic shock
OT  - perclose proglide
OT  - percutaneous decannulation
OT  - percutaneous intervention
OT  - va-ecmo
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/08/31 06:00
MHDA- 2022/08/31 06:01
PMCR- 2022/07/25
CRDT- 2022/08/30 01:47
PHST- 2022/07/25 00:00 [accepted]
PHST- 2022/08/30 01:47 [entrez]
PHST- 2022/08/31 06:00 [pubmed]
PHST- 2022/08/31 06:01 [medline]
PHST- 2022/07/25 00:00 [pmc-release]
AID - 10.7759/cureus.27258 [doi]
PST - epublish
SO  - Cureus. 2022 Jul 25;14(7):e27258. doi: 10.7759/cureus.27258. eCollection 2022 
      Jul.