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Related Concept Videos

Venous Return01:04

Venous Return

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The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
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ProtekDuo Cannulation via Right External Jugular Vein: A First in Man Method Description.

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Nitric oxide in Extracorporeal Membrane Oxygenation Sweep Gas Promotes Oxygenator Longevity: A Technical Case Report.

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The United States Experience With Combined Lung+Liver Transplantation.

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Extracorporeal life support in lung transplantation with dual-lumen cannulas: A systematic review.

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Updated: Jun 15, 2025

Veno-Venous Extracorporeal Membrane Oxygenation in a Mouse
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Veno-Venous Extracorporeal Membrane Oxygenation in a Mouse

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Conversion technique from venovenous to venopulmonary ECMO support.

Yuriy Stukov1, Mindaugas Rackauskas1, Marc O Maybauer2

  • 1Division of Thoracic Surgery, Department of Surgery, University of Florida, Gainesville, Florida, USA.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|August 28, 2024
PubMed
Summary

This study details a novel cannulation technique for venopulmonary extracorporeal membrane oxygenation (VpECMO) using a dual-lumen cannula. This approach was successfully applied in a lung transplant patient with COVID-19, transitioning from venovenous ECMO.

Keywords:
ECMOLung transplant

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Area of Science:

  • Cardiovascular and Respiratory Medicine
  • Transplantation Surgery
  • Critical Care Medicine

Background:

  • Patients undergoing bilateral orthotopic lung transplant require advanced respiratory support.
  • Severe COVID-19 infection can necessitate extracorporeal membrane oxygenation (ECMO).
  • Transitioning ECMO configurations requires precise cannulation strategies.

Discussion:

  • The ProtekDuo dual-lumen cannula offers a streamlined approach for VpECMO.
  • Cannulation in the same vessel used for prior venovenous ECMO presents unique challenges.
  • Successful conversion demonstrates the feasibility of this technique in complex post-transplant scenarios.

Key Insights:

  • A specific cannulation technique for VpECMO using the ProtekDuo cannula is described.
  • The technique was applied to a patient with a history of lung transplant and COVID-19.
  • Successful conversion from venovenous ECMO to VpECMO was achieved.

Outlook:

  • This technique may offer an alternative for respiratory support in similar complex patient cases.
  • Further studies are warranted to evaluate the long-term outcomes and broader applicability of this VpECMO strategy.
  • Refinement of dual-lumen cannula use in post-lung transplant ECMO management is anticipated.