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Novel Use of a Distal Perfusion Catheter With a Removable Side Port in Patients on VA-ECMO
Raef Fadel1, Anas Al-Suraimi1, Fares Sukhon1
1Interventional Cardiology, Henry Ford Hospital, Detroit, Michigan, USA.
Abstract:
Risk of limb ischemia in patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) is minimized with the use of distal perfusion catheters (DPCs). However, conventional sheaths utilize a flow-limiting side port connection, reducing efficacy. We report 5 cases wherein we utilized a commercially available DPC with a removable side port in patients treated with VA-ECMO. The use of a DPC without a side port increased flow by 220% when compared to the use of a DPC with a side port. No patients experienced limb ischemia while on VA-ECMO.
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