Beyond Venoarterial and Venovenous ECMO: Novel Cannulation Strategies

Extracorporeal Membrane Oxygenation (ECMO) is most commonly used as either lung support or venovenous ECMO (VV-ECMO) or combined heart and lung support or venoarterial ECMO (VA-ECMO). In certain instances such as large body habitus, peripheral vascular disease or poor vascular access, these strategies may not provide sufficient support or are not feasible to deploy. New strategies for ECMO including parallel VV-ECMO circuits for patients with high cardiac output, veno-venopulmonary ECMO, left atrial venoarterial ECMO, and dual lumen cannula access through the left ventricular apical may be helpful in complex circumstances.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Editorial Source Type: research