Divisions of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
Division of Vascular Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
Ann Thorac Surg. 2022 Mar;113(3):e179-e181. doi: 10.1016/j.athoracsur.2021.01.031. Epub 2021 Jan 30.
We present a technique for performing endovascular procedures by obtaining vascular access directly through a venovenous extracorporeal membrane oxygenation (VV ECMO) circuit. This technique is demonstrated in a lung transplant recipient, supported on VV ECMO, whose course was complicated by an extensive right femoral vein and inferior vena cava deep venous thrombosis. The patient was successfully managed by the placement of an inferior vena cava filter using the VV ECMO circuit as a point of access to the circulatory system before cessation of VV ECMO support and decannulation.
我们介绍了一种通过直接穿过静脉-静脉体外膜肺氧合（VV ECMO）回路获得血管通路来进行血管内手术的技术。该技术在一名接受 VV ECMO 支持的肺移植受者中得到了演示，该患者的右侧股静脉和下腔静脉深静脉血栓形成广泛，病情复杂。在停止 VV ECMO 支持和拔管之前，我们使用 VV ECMO 回路作为进入循环系统的切入点，成功地通过该回路放置了下腔静脉滤器，从而成功地对该患者进行了治疗。
