Migrated Avalon-Elite cannula in an infant transcatheter repositioning without interruption of ECMO flow

Inadvertent migration of Avalon-Elite cannula in patients receiving veno-venous extracorporeal membrane oxygenation (VV-ECMO) support is often difficult to manage. Cannula repositioning conventionally requires temporary discontinuation of the ECMO support which is often poorly tolerated in small inf...

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Bibliographic Details
Published inJournal of artificial organs Vol. 24; no. 3; pp. 382 - 386
Main Authors Chen, Robin Hay-son, Yam, Nicholson, Lun, Kin-shing, Au, Timmy Wing-kuk
Format Journal Article
LanguageEnglish
Published Tokyo Springer Japan 01.09.2021
Springer Nature B.V
Subjects
Biomedical Engineering and Bioengineering
Cannulae
Cardiac Surgery
Case Report
Catheterization
Extracorporeal membrane oxygenation
Infants
Medicine
Medicine & Public Health
Nephrology
Oxygenation
Pneumonitis
Respiratory failure
Respiratory failure
Extracorporeal membrane oxygenation
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Summary:Inadvertent migration of Avalon-Elite cannula in patients receiving veno-venous extracorporeal membrane oxygenation (VV-ECMO) support is often difficult to manage. Cannula repositioning conventionally requires temporary discontinuation of the ECMO support which is often poorly tolerated in small infants with poor pulmonary reserve. We reported a case of a small infant weighing 3.9 kg requiring VV-ECMO support with a 13Fr Avalon-Elite cannula for respiratory failure secondary to severe pneumonitis, complicated by 2 episodes of cannula migration which were both successfully managed by transcatheter repositioning in the cardiac catheterization laboratory without interruption of ECMO flow.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1434-7229
1619-0904
DOI:10.1007/s10047-020-01238-0