PMID- 37944412
OWN - NLM
STAT- MEDLINE
DCOM- 20240105
LR  - 20240429
IS  - 1879-1913 (Electronic)
IS  - 0002-9149 (Linking)
VI  - 210
DP  - 2024 Jan 1
TI  - A Novel Percutaneous Snare-Assisted Manipulation and Repositioning of a ProtekDuo 
      Cannula in a COVID-19 Acute Respiratory Distress Syndrome.
PG  - 113-115
LID - S0002-9149(23)00792-0 [pii]
LID - 10.1016/j.amjcard.2023.08.050 [doi]
AB  - Venovenous extracorporeal membrane oxygenation [VV-ECMO] has gained increasing 
      notoriety during the COVID-19 pandemic as a salvation therapy for fulminant 
      respiratory failure. Various configurations can present unique challenges in 
      management. For instance, the ProtekDuo cannula is a 29Fr to 31Fr dual-lumen 
      cannula inserted by way of the right internal jugular vein that allows for right 
      atrium to pulmonary artery bypass with an attached oxygenator, essentially 
      resulting in VV-ECMO. Understanding that these different configurations 
      inevitably dictate the types of complications that can arise during the circuit 
      implantation and management is imperative. However, in a hemodynamically unstable 
      patient, time or resources may not permit standard maneuvers for management. In 
      conclusion, we present an innovative, percutaneous approach which allowed the 
      restoration of flow and oxygenation in a decompensating ProtekDuo patient without 
      having to explant/disconnect the circuit or implant a new VV-ECMO circuit.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Haq, Syed H
AU  - Haq SH
AD  - Department of Internal Medicine, BonSecour Mercy Health-St. Rita's Medical 
      Center, Lima, Ohio.
FAU - Shah, Sidra R
AU  - Shah SR
AD  - Department of Internal Medicine, BonSecour Mercy Health-St. Rita's Medical 
      Center, Lima, Ohio.
FAU - Golzarian, Hafez
AU  - Golzarian H
AD  - Department of Internal Medicine, BonSecour Mercy Health-St. Rita's Medical 
      Center, Lima, Ohio.
FAU - Laird, Amanda
AU  - Laird A
AD  - Department of Critical Care Medicine, BonSecour Mercy Health-St. Rita's Medical 
      Center, Lima, Ohio.
FAU - Cole, William
AU  - Cole W
AD  - Department of Critical Care Medicine, BonSecour Mercy Health-St. Rita's Medical 
      Center, Lima, Ohio.
FAU - Patel, Sandeep M
AU  - Patel SM
AD  - Structural Heart & Intervention Center, BonSecour Mercy Health-St. Rita's Medical 
      Center, Lima, Ohio. Electronic address: SMPatel@mercy.com.
LA  - eng
PT  - Case Reports
DEP - 20231107
PL  - United States
TA  - Am J Cardiol
JT  - The American journal of cardiology
JID - 0207277
SB  - IM
MH  - Humans
MH  - Cannula
MH  - *COVID-19
MH  - Pandemics
MH  - *Respiratory Distress Syndrome/therapy
OTO - NOTNLM
OT  - COVID-19
OT  - Gooseneck snare
OT  - ProtekDuo
OT  - VV-ECMO
COIS- Declaration of Competing Interest The authors have no competing interests to 
      declare.
EDAT- 2023/11/10 00:44
MHDA- 2023/12/17 09:45
CRDT- 2023/11/09 18:13
PHST- 2023/06/07 00:00 [received]
PHST- 2023/08/02 00:00 [revised]
PHST- 2023/08/10 00:00 [accepted]
PHST- 2023/12/17 09:45 [medline]
PHST- 2023/11/10 00:44 [pubmed]
PHST- 2023/11/09 18:13 [entrez]
AID - S0002-9149(23)00792-0 [pii]
AID - 10.1016/j.amjcard.2023.08.050 [doi]
PST - ppublish
SO  - Am J Cardiol. 2024 Jan 1;210:113-115. doi: 10.1016/j.amjcard.2023.08.050. Epub 
      2023 Nov 7.