Safety and Efficacy of Distal Perfusion Catheterization to Prevent Limb Ischemia after Common Femoral Artery Cannulation for Extracorporeal Membrane Oxygenation
Purpose The extracorporeal membrane oxygenation (ECMO) cannula has the potential for obstructing flow to the lower limb, thus causing severe ischemia and possible limb loss. We evaluated the safety and clinical efficacy of percutaneous distal perfusion catheterization in preventing limb ischemia....
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2016-06-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2016.74.6.373 |
| _version_ | 1818249835229216768 |
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| author | Chang Ho Jeon Nak Jong Seong Chang Jin Yoon |
| author_facet | Chang Ho Jeon Nak Jong Seong Chang Jin Yoon |
| author_sort | Chang Ho Jeon |
| collection | DOAJ |
| description | Purpose
The extracorporeal membrane oxygenation (ECMO) cannula has the potential for obstructing flow to the lower limb, thus causing severe ischemia and possible limb loss. We evaluated the safety and clinical efficacy of percutaneous distal perfusion catheterization in preventing limb ischemia.
Materials and Methods
Between March 2013 and February 2015, 28 patients with distal perfusion catheterization after ECMO were included in this retrospective study. The technical success was evaluated by Doppler ultrasound at the popliteal level after saline injection via distal perfusion catheter. Clinical success was assessed when at least one of the following conditions was met: restoration of continuous peripheral limb oximetry value or presence of distal arterial pulse on Doppler ultrasound evaluation or resolution of early ischemic sign after connecting the catheter with ECMO.
Results
Twenty-six patients with early ischemia were successfully cannulated with a distal perfusion catheter (92.8%). Clinical success was achieved in 12/28 (42.8%) patients; 8/10 (80.0%) patients with survival duration exceeding 7 days and 4/18 (22.2%) patients with survival duration less than 7 days, respectively.
Conclusion
A percutaneous distal perfusion catheter placement was a feasible tool with safety and efficacy in preventing lower limb ischemia for patients with prolonged common femoral arterial cannulation for ECMO. |
| first_indexed | 2024-12-12T15:42:48Z |
| format | Article |
| id | doaj.art-6de722f3317d4d44bacb0bdaf1d5a779 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-12-12T15:42:48Z |
| publishDate | 2016-06-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-6de722f3317d4d44bacb0bdaf1d5a7792022-12-22T00:19:51ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282016-06-01746373379https://doi.org/10.3348/jksr.2016.74.6.373Safety and Efficacy of Distal Perfusion Catheterization to Prevent Limb Ischemia after Common Femoral Artery Cannulation for Extracorporeal Membrane OxygenationChang Ho Jeon0Nak Jong Seong1Chang Jin Yoon2Department of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Radiology, Seoul National University College of Medicine, Seoul, KoreaPurpose The extracorporeal membrane oxygenation (ECMO) cannula has the potential for obstructing flow to the lower limb, thus causing severe ischemia and possible limb loss. We evaluated the safety and clinical efficacy of percutaneous distal perfusion catheterization in preventing limb ischemia. Materials and Methods Between March 2013 and February 2015, 28 patients with distal perfusion catheterization after ECMO were included in this retrospective study. The technical success was evaluated by Doppler ultrasound at the popliteal level after saline injection via distal perfusion catheter. Clinical success was assessed when at least one of the following conditions was met: restoration of continuous peripheral limb oximetry value or presence of distal arterial pulse on Doppler ultrasound evaluation or resolution of early ischemic sign after connecting the catheter with ECMO. Results Twenty-six patients with early ischemia were successfully cannulated with a distal perfusion catheter (92.8%). Clinical success was achieved in 12/28 (42.8%) patients; 8/10 (80.0%) patients with survival duration exceeding 7 days and 4/18 (22.2%) patients with survival duration less than 7 days, respectively. Conclusion A percutaneous distal perfusion catheter placement was a feasible tool with safety and efficacy in preventing lower limb ischemia for patients with prolonged common femoral arterial cannulation for ECMO.https://doi.org/10.3348/jksr.2016.74.6.373extracorporeal membrane oxygenationischemiaperfusioncatheterspectroscopynear-infrared |
| spellingShingle | Chang Ho Jeon Nak Jong Seong Chang Jin Yoon Safety and Efficacy of Distal Perfusion Catheterization to Prevent Limb Ischemia after Common Femoral Artery Cannulation for Extracorporeal Membrane Oxygenation 대한영상의학회지 extracorporeal membrane oxygenation ischemia perfusion catheter spectroscopy near-infrared |
| title | Safety and Efficacy of Distal Perfusion Catheterization to Prevent Limb Ischemia after Common Femoral Artery Cannulation for Extracorporeal Membrane Oxygenation |
| title_full | Safety and Efficacy of Distal Perfusion Catheterization to Prevent Limb Ischemia after Common Femoral Artery Cannulation for Extracorporeal Membrane Oxygenation |
| title_fullStr | Safety and Efficacy of Distal Perfusion Catheterization to Prevent Limb Ischemia after Common Femoral Artery Cannulation for Extracorporeal Membrane Oxygenation |
| title_full_unstemmed | Safety and Efficacy of Distal Perfusion Catheterization to Prevent Limb Ischemia after Common Femoral Artery Cannulation for Extracorporeal Membrane Oxygenation |
| title_short | Safety and Efficacy of Distal Perfusion Catheterization to Prevent Limb Ischemia after Common Femoral Artery Cannulation for Extracorporeal Membrane Oxygenation |
| title_sort | safety and efficacy of distal perfusion catheterization to prevent limb ischemia after common femoral artery cannulation for extracorporeal membrane oxygenation |
| topic | extracorporeal membrane oxygenation ischemia perfusion catheter spectroscopy near-infrared |
| url | https://doi.org/10.3348/jksr.2016.74.6.373 |
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