Ka Eun Seok, Lee June, Ahn Seha, Kim Yong Han
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Thoracic and Cardiovascular Surgery, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
J Chest Surg. 2024 Mar 5;57(2):225-229. doi: 10.5090/jcs.23.082. Epub 2024 Jan 8.
Venovenous (VV) extracorporeal membrane oxygenation (ECMO) is a lifesaving technique for patients experiencing respiratory failure. When VV ECMO fails to provide adequate support despite optimal settings, alternative strategies may be employed. One option is to add another venous cannula to increase venous drainage, while another is to insert an additional arterial return cannula to assist cardiac function. Alternatively, a separate ECMO circuit can be implemented to function in parallel with the existing circuit. We present a case in which the parallel ECMO method was used in a 63-year-old man with respiratory failure due to coronavirus disease 2019, combined with cardiac dysfunction. We installed an additional venoarterial ECMO circuit alongside the existing VV ECMO circuit and successfully weaned the patient from both types of ECMO. In this report, we share our experience and discuss this method.
静脉-静脉（VV）体外膜肺氧合（ECMO）是一种用于救治呼吸衰竭患者的救命技术。当VV ECMO尽管设置最佳仍无法提供足够支持时，可采用替代策略。一种选择是增加另一根静脉插管以增加静脉引流，另一种是插入额外的动脉回流插管以辅助心脏功能。或者，可以实施一个单独的ECMO回路与现有回路并行运行。我们报告一例63岁因2019冠状病毒病导致呼吸衰竭并伴有心脏功能障碍的男性患者使用并行ECMO方法的病例。我们在现有的VV ECMO回路旁安装了一个额外的静脉-动脉ECMO回路，并成功使患者脱离了这两种ECMO支持。在本报告中，我们分享我们的经验并讨论这种方法。
