A modified technique for insertion of dual lumen bicaval cannulae for venovenous extracorporeal membrane oxygenation

Richard H Trimlett, Jeremy J Cordingley, Mark J Griffiths, Susanna Price, David N Hunter, Simon J Finney
Intensive Care Medicine 2011, 37 (6): 1036-7

PURPOSE: Venovenous extracorporeal membrane oxygenation is used increasingly in adults with severe acute reversible respiratory failure. Cannulation is associated with a risk of vascular damage or cardiac perforation.

METHODS AND RESULTS: This report describes a modified technique of insertion for dual lumen bicaval cannulae. We have adopted the technique on 25 occasions and had no incidence of vascular damage or cardiac perforation.

CONCLUSION: We suggest that the technique may mitigate the risk of guidewire looping during insertion of the dilators/cannula and thereby reduce the risk of perforation of the right ventricle.

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