PMID- 37144729
OWN - NLM
STAT- MEDLINE
DCOM- 20230630
LR  - 20230630
IS  - 1559-0879 (Electronic)
IS  - 1556-9845 (Linking)
VI  - 18
IP  - 3
DP  - 2023 May-Jun
TI  - Cardiac Catheterization via Direct Access of Venoarterial Extracorporeal Membrane 
      Oxygenation Circuit.
PG  - 282-285
LID - 10.1177/15569845231170231 [doi]
AB  - Obtaining arterial access for cardiac catheterization can be both challenging and 
      morbid in patients supported by venoarterial extracorporeal membrane oxygenation 
      (VA-ECMO). While catheterization performed by obtaining endovascular access 
      through the ECMO circuit itself has been described, all previous cases utilized a 
      Y-connector and accessory tubing limb. We report a novel technique whereby 
      arterial access was obtained directly via standard VA-ECMO arterial return 
      tubing, through which coronary angiography was successfully performed in a 
      67-year-old woman. This technique may reduce the incidence of morbidity attendant 
      with obtaining vascular accesses in patients on ECMO without requiring insertion 
      of new circuit components.
FAU - Ziegler, Luke A
AU  - Ziegler LA
AUID- ORCID: 0000-0002-2651-9316
AD  - Department of Cardiothoracic Surgery, University of Pittsburgh School of 
      Medicine, PA, USA.
AD  - University of Pittsburgh Medical Center Procirca Mechanical Circulatory Support, 
      PA, USA.
FAU - Gupta, Anuj
AU  - Gupta A
AD  - Department of Medicine, Division of Cardiology, University of Maryland School of 
      Medicine, Baltimore, MD, USA.
FAU - Bang, Vigyan
AU  - Bang V
AD  - Department of Medicine, Division of Cardiology, University of Maryland School of 
      Medicine, Baltimore, MD, USA.
FAU - Kaczorowski, David J
AU  - Kaczorowski DJ
AD  - Department of Cardiothoracic Surgery, University of Pittsburgh School of 
      Medicine, PA, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20230505
PL  - United States
TA  - Innovations (Phila)
JT  - Innovations (Philadelphia, Pa.)
JID - 101257528
SB  - IM
MH  - Female
MH  - Humans
MH  - Aged
MH  - *Extracorporeal Membrane Oxygenation/methods
MH  - Cardiac Catheterization/methods
MH  - Coronary Angiography
MH  - Femoral Artery
MH  - Incidence
MH  - Retrospective Studies
MH  - *Catheterization, Peripheral/methods
OTO - NOTNLM
OT  - ECMO
OT  - angiography
OT  - endovascular access
OT  - minimally invasive
EDAT- 2023/05/05 12:42
MHDA- 2023/06/30 06:42
CRDT- 2023/05/05 07:33
PHST- 2023/06/30 06:42 [medline]
PHST- 2023/05/05 12:42 [pubmed]
PHST- 2023/05/05 07:33 [entrez]
AID - 10.1177/15569845231170231 [doi]
PST - ppublish
SO  - Innovations (Phila). 2023 May-Jun;18(3):282-285. doi: 10.1177/15569845231170231. 
      Epub 2023 May 5.