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Lung Transplantation Using a Hybrid Extracorporeal Membrane Oxygenation Circuit.
ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs 2020 March 28
Extracorporeal circulation (ECC) support using intraoperative extracorporeal membrane oxygenation (ECMO) during lung transplantation (LTx) is now a routine practice for many high volume centers. Circuits that are dedicated to ECMO alone can be expensive and do not allow full cardiopulmonary bypass (CPB) to be performed. We describe our technique of instituting venoarterial ECMO during LTx using a less-expensive hybrid circuit that facilitates easy and immediate conversion to full CPB if needed, without interruption of ECC.
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