Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.
Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.
Ann Thorac Surg. 2020 Oct;110(4):e307-e309. doi: 10.1016/j.athoracsur.2020.01.064. Epub 2020 Mar 5.
The case provided suggests that an ultrasound-navigated Manta device works well in closing percutaneously the peripheral arterial extracorporeal membrane oxygenation cannulation site. Ultrasonography use during extracorporeal membrane oxygenation decannulation can further diminish the possible device-related technical failures (toggle or collagen protrusion through the vessel wall, toggle stacking into calcifications, or delivery failure of the collagen pad) leading to bleeding and vascular complications. Further studies are needed on this topic.
该病例提示，超声引导的 Manta 装置在经皮关闭外周动脉体外膜肺氧合插管部位方面效果良好。在体外膜肺氧合拔管过程中使用超声检查可以进一步减少可能与器械相关的技术故障（拨叉或胶原突出穿过血管壁、拨叉堆积成钙化、或胶原垫输送失败），从而导致出血和血管并发症。需要对此主题进行进一步研究。
