Russo Claudio F, Cannata Aldo, Vitali Ettore, Lanfranconi Marco
Department of Cardiovascular Surgery A De Gasperis, Niguarda Cà Granda Hospital, Milan, Italy.
J Card Surg. 2009 Mar-Apr;24(2):185-7. doi: 10.1111/j.1540-8191.2009.00829.x.
Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a mechanical circulatory support indicated for the advanced treatment of refractory heart failure. The cannulation of the femoral vessels may be complicated by distal limb ischemia by arterial hypoperfusion and severe edema by venous obstruction. We describe a modified cannulation technique in order to prevent ischemia and edema of the inferior limb during VA-ECMO.
静脉-动脉体外膜肺氧合（VA-ECMO）是一种用于难治性心力衰竭高级治疗的机械循环支持手段。股血管插管可能会因动脉灌注不足导致远端肢体缺血，以及因静脉阻塞导致严重水肿而出现并发症。我们描述了一种改良的插管技术，以防止在VA-ECMO期间下肢出现缺血和水肿。
