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Fracture of dual lumen cannula leading to cerebrovascular accident in a patient supported with ECMO. | LitMetric

Fracture of dual lumen cannula leading to cerebrovascular accident in a patient supported with ECMO.

J Artif Organs

Division of Thoracic Surgery, Feinberg School of Medicine, Northwestern University, 676 N. Saint Clair Street, Suite 650, Chicago, IL, 60611, USA.

Published: September 2022

AI Article Synopsis

Article Abstract

Extended duration extracorporeal membrane oxygenation (ECMO), using dual-lumen cannulas, is being used with increased frequency to support patients, including those with COVID-19; both as a bridge to transplant and lung recovery. During such an extended duration of support, there are several factors that might lead to the attrition of the physical structure of the ECMO cannulas, predisposing them to the risk of fracture. Although rare, fracture of the ECMO cannula can be a potentially lethal event. Here, we present a case where fracture of a dual lumen cannula during veno-venous (VV) ECMO support resulted in a cerebrovascular accident. We discuss the potential contributing factors and suggest steps to mitigate the risks for such a complication.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763437PMC
http://dx.doi.org/10.1007/s10047-021-01306-zDOI Listing

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