TY - JOUR
T1 - Insertion of Bicaval Dual Lumen extracorporeal membrane oxygenation catheter with image guidance
AU - Javidfar, Jeffrey
AU - Wang, Dongfang
AU - Zwischenberger, Joseph B.
AU - Costa, Joseph
AU - Mongero, Linda
AU - Sonett, Joshua
AU - Bacchetta, Matthew
PY - 2011/5
Y1 - 2011/5
N2 - Correct placement of the Avalon Elite Bicaval Dual Lumen catheter (Avalon Laboratories, LLC, CA) for single-site venovenous extracorporeal membrane oxygenation (VV ECMO) is safe using image guidance. Using this technique, 26 of 27 patients (96%) had uneventful placement of the cannula in the right internal jugular vein. One patient had a superior vena cava injury during serial dilation, and another patient required cannula repositioning for improved flows. We recommend using both fluoroscopy and transesophageal echocardiogram (TEE) for training purposes or during initial use of the Avalon Elite. As proficiency improves, TEE at the bedside provides an excellent standard of care. Double-lumen ECMO catheters can be effectively placed under image guidance with minimal need for repositioning.
AB - Correct placement of the Avalon Elite Bicaval Dual Lumen catheter (Avalon Laboratories, LLC, CA) for single-site venovenous extracorporeal membrane oxygenation (VV ECMO) is safe using image guidance. Using this technique, 26 of 27 patients (96%) had uneventful placement of the cannula in the right internal jugular vein. One patient had a superior vena cava injury during serial dilation, and another patient required cannula repositioning for improved flows. We recommend using both fluoroscopy and transesophageal echocardiogram (TEE) for training purposes or during initial use of the Avalon Elite. As proficiency improves, TEE at the bedside provides an excellent standard of care. Double-lumen ECMO catheters can be effectively placed under image guidance with minimal need for repositioning.
UR - http://www.scopus.com/inward/record.url?scp=79955606196&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79955606196&partnerID=8YFLogxK
U2 - 10.1097/MAT.0b013e3182155fee
DO - 10.1097/MAT.0b013e3182155fee
M3 - Article
C2 - 21499077
AN - SCOPUS:79955606196
SN - 1058-2916
VL - 57
SP - 203
EP - 205
JO - ASAIO Journal
JF - ASAIO Journal
IS - 3
ER -