A Drop Foot Case Report After Having a Common Femoral Artery Cannulation for Venoarterial Extracorporeal Membrane Oxygenation: Case Report

Aydın, Şenay; Pazarcı, Nevin Kuloğlu; Akan, Onur; Büyükkale, Songül; Bakan, Nur Dilek; Sayar, Adnan

doi:10.5152/npa.2017.19340

Cited by 8 publications

(12 citation statements)

References 9 publications

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“…In addition to intensive respiratory care and positionings, other procedures can also cause peripheral nerve injuries. ECMO, for example, is reported as a possible cause of lower limb peripheral nerve injuries, although no COVID-19 cases have been reported [ 40 , 41 , 42 , 43 ]. According to the literature, bulky cannulas placed on the femoral artery and vein can damage the femoral nerve [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature, bulky cannulas placed on the femoral artery and vein can damage the femoral nerve [ 40 , 41 ]. Furthermore, compartment syndrome, a possible complication of the procedure, can also cause fibular, tibial, and sural nerve injuries on the same side of cannulation [ 42 , 43 ]. Fortunately, case 1 did not show the peripheral nerve injuries associated with ECMO, although the patient underwent the procedure.…”

Section: Discussionmentioning

confidence: 99%

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Intensive Care Unit-Acquired Weakness and Positioning-Related Peripheral Nerve Injuries in COVID-19: A Case Series of Three Patients and the Latest Literature Review

et al. 2021

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A subgroup of COVID-19 patients requires intensive respiratory care. The prolonged immobilization and aggressive treatments predispose these patients to develop intensive care unit-acquired weakness (ICUAW). Furthermore, this condition could increase the chance of positioning-related peripheral nerve injuries. On the basis of the latest literature review, we describe a case series of three patients with COVID-19 who developed ICUAW complicated by positioning-related peripheral nerve injuries Every patient presented sensorimotor axonal polyneuropathy and concomitant myopathy in electrophysiological studies. Furthermore, muscle MRI helped the diagnosis of ICUAW, showing massive damage predominantly in the proximal muscles. Notably, nerve ultrasound detected positioning-related peripheral nerve injuries, even though the concomitant ICUAW substantially masked their clinical features. During the acute phase of severe COVID-19 infection, most medical attention tends to be assigned to critical care management, and neuromuscular complications such as ICUAW and positioning-related peripheral nerve injuries could be underestimated. Hence, when starting post-ICU care for COVID-19 cases, the combination of electrophysiological and imaging studies will aid appropriate evaluation on the patients with COVID-19-related ICUAW.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intensive Care Unit-Acquired Weakness and Positioning-Related Peripheral Nerve Injuries in COVID-19: A Case Series of Three Patients and the Latest Literature Review

et al. 2021

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“…As the clinical outcomes of ECMO therapy is improving, attention to the complications that determine the post-ECMO quality of life are emerging. Neuropathy caused by limb ischemia [4] or compartment syndrome [5] following ECMO therapy have been observed. However, FN caused by DVT and/or cannula-related nerve compression after ECMO therapy have not been reported.…”

Section: Discussionmentioning

confidence: 99%

Femoral neuropathy following venoarterial-extracorporeal membrane oxygenation therapy: a case report

Jang

Lee

et al. 2020

BMC Cardiovasc Disord

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Background Although life-threatening complications of extracorporeal membrane oxygenation (ECMO) are well described, non-life threatening complications are less known. Herein, we report a case of femoral neuropathy (FN) due to nerve compression caused by cannula compression and deep vein thrombosis (DVT) after successful ECMO therapy, which seriously undermined one’s quality of life. Case presentation A 70-year old male presented to the emergency department for chest pain. The patient had cardiac arrest before percutaneous coronary intervention (PCI) and was inserted with ECMO. Although he was successfully weaned from ECMO 4 days after PCI, he consistently complained swelling, abnormal sensation, and weakness in his right lower extremity, where the cannulas were inserted. Imaging studies showed deep vein thrombosis (DVT) in his right leg, which was further treated with anticoagulants. Symptoms, however, remained after the regression of DVT. Nerve conduction study revealed femoral neuropathy, which may have been caused by ECMO cannula compression and tissue swelling. Conclusion The current case proposes that non-life threatening complications of ECMO therapy can seriously affect quality of life. Venous drainage distant from the arterial cannula may prevent such complications.

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“…More than 30% of adults with a history of ECMO treatment develop neurological complications. 23 The most commonly known complication is sensory deficits in the right lateral cutaneous nerve of the thigh. 24 This may be relevant to our patient because she was cannulated through the right femoral vein.…”

Section: Discussionmentioning

confidence: 99%

Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report

Kim

et al. 2020

J Int Med Res

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Amniotic fluid embolism (AFE) is a rare disease, but it is a potentially fatal condition, as well as a leading cause of unpredictable maternal death in developed countries. The typical clinical symptoms of AFE include hypoxia, hypotension, and coagulopathy, and with rapid progression, it may cause cardiac arrest and death. We report a case of sudden hemodynamic instability due to amniotic fluid embolism, which was successfully treated with veno-arterial extracorporeal membrane oxygenation (ECMO). A 39-year-old woman was scheduled for delivery at 38 weeks and 2 days of gestation. During labor, sudden generalized tonic-clonic seizures developed, followed by dyspnea and cyanosis. Despite immediate cesarean section being performed, she became hypoxemic and experienced cardiovascular collapse. ECMO was promptly applied, and the patient became stable 8 days after cesarean section. ECMO appears to be an appropriate treatment option for catastrophic amniotic fluid embolism.

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A Drop Foot Case Report After Having a Common Femoral Artery Cannulation for Venoarterial Extracorporeal Membrane Oxygenation: Case Report

Cited by 8 publications

References 9 publications

Intensive Care Unit-Acquired Weakness and Positioning-Related Peripheral Nerve Injuries in COVID-19: A Case Series of Three Patients and the Latest Literature Review

Intensive Care Unit-Acquired Weakness and Positioning-Related Peripheral Nerve Injuries in COVID-19: A Case Series of Three Patients and the Latest Literature Review

Femoral neuropathy following venoarterial-extracorporeal membrane oxygenation therapy: a case report

Successful resuscitation by using extracorporeal membrane oxygenation in a patient with amniotic fluid embolism: a case report

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