Hayakawa N, Tobita K, Kodera S, Ishibashi N, Kasai Y, Arakawa M, Hirano S, Shakya S, Miyaji K, Kushida S, Kanda J, Saito S. An Effective Method for Percutaneous Removal of Venoarterial Extracorporeal Membrane Oxygenation by a Combination of Balloon Dilatation in Endovascular Therapy and the Perclose Proglide™ Closure Device.
Ann Vasc Surg 2021;
73:532-537. [PMID:
33508453 DOI:
10.1016/j.avsg.2020.12.028]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 11/23/2020] [Accepted: 12/14/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND
Venoarterial extracorporeal membrane oxygenation (VA-ECMO) can be undertaken surgically, but there are various problems with this method.
METHODS AND CASE REPORT
We removed the arterial cannula of VA-ECMO percutaneously by combining intravascular balloon dilatation and the Perclose ProGlide™ (PP) closure device in a short amount of time and the extent of bleeding was extremely small. Simultaneously, the venous cannula was removed by suturing and manual compression. We report a series of cases of percutaneous removal of VA-ECMO using intravascular balloon dilatation and PP.
CONCLUSIONS
By using this method, VA-ECMO removal was possible in a very short amount of time with minimal invasiveness.
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