Extracorporeal membrane oxygenation: a radiologists' guide to who, what and where

Hosmane, Sharath; Barrow, T.; Ashworth, Alan; Smith, Elizabeth Viner

doi:10.1016/j.crad.2015.01.006

Cited by 16 publications

(14 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The oxygenated blood is returned to the systemic circulation via the inflow cannula [5 -9]. There are two different methods depending on the type of cannulation [10,11]: ▶ Fig. 1 ECMO venous outflow cannula in the inferior vena cava and inflow cannula placement through the superior vena cava in the right atrium, illustration A and radiographic correlation B.…”

Section: Ecmo and Ecls Systems: Design And Variantsmentioning

confidence: 99%

“…If the position of the arterial cannula is too distal in the descending aorta, the oxygen supply of the coronary arteries and the extra-and intracranial arteries can be reduced [5]. Every change in the position of cutaneously fixed cannulas in projection radiography is suspicious for the complication of cannula dislocation [11,16].…”

Section: Cannula Positionmentioning

confidence: 99%

“…Bleeding complications are the most common complications during ECMO/ECLS therapy [9,11,15]. The causes have a multifactorial genesis.…”

Section: Bleedingmentioning

confidence: 99%

“…To avoid the uncertainties of contrast agent timing, additional use of a bolus tracking mechanism in the body region to be examined is possible. However, the start of a possibly necessary manual examination in the event that the previously defined threshold value is not reached must be factored in [11,14,25,26].…”

Section: Imagingmentioning

confidence: 99%

“…eliminated as a result of the recirculation and homogenization of the contrast enhancement [11,14,27].…”

Section: Arterial Pseudomembranementioning

confidence: 99%

See 4 more Smart Citations

Extrakorporale Membranoxygenierung bei Erwachsenen – Varianten, Komplikationen unter Therapie und die Rolle der radiologischen Diagnostik

Beck¹,

Burg²,

Heindel³

et al. 2016

Fortschr Röntgenstr

View full text Add to dashboard Cite

ABSTR ACTBackground Extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS) as respiratory and circulatory assist therapies are gaining in importance in the treatment of critically ill patients. Depending on the place of cannulation -veno-venous for ECMO and veno-arterial for ECLS -distinct changes in hemodynamics will occur. In this review we describe the different types of ECMO and ECLS systems, the typical cannula placement and frequent complications under therapy. The most suitable imaging modalities will be presented and typical hemodynamic pitfalls in contrast-enhanced computed tomography or angiography will be elucidated. MethodsThe review is based on a literature search in PubMed with the terms "ECMO" and/or "ECLS" and/or "extracorporeal life support" and/or "imaging" and/or "complications". Statistical data was taken from the ECMO register of the "Extracorporeal Life Support Organization (ELSO)".Results Critical illness-and therapy-associated complications are common so that imaging, particularly computed tomography, becomes increasingly important. Following veno-venous cannulation in ECMO, the normal sequential blood flow is preserved, so that no contrast enhancement irregularities should be expected when the right timing and an adequate amount of contrast agent are selected. After veno-arterial cannulation in ECLS, different artifacts like pseudo-filling defects, pseudomembranes and irregular/low contrast enhancement of heart and pulmonary vessels can be found, depending on the site of cannulation and the residual cardiac function.Key points ▪ Cannula placement is usually documented by radiography. This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

show abstract

Section: Ecmo and Ecls Systems: Design And Variantsmentioning

confidence: 99%

Section: Cannula Positionmentioning

confidence: 99%

“…Bleeding complications are the most common complications during ECMO/ECLS therapy [9,11,15]. The causes have a multifactorial genesis.…”

Section: Bleedingmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

“…eliminated as a result of the recirculation and homogenization of the contrast enhancement [11,14,27].…”

Section: Arterial Pseudomembranementioning

confidence: 99%

See 3 more Smart Citations

Extrakorporale Membranoxygenierung bei Erwachsenen – Varianten, Komplikationen unter Therapie und die Rolle der radiologischen Diagnostik

Beck¹,

Burg²,

Heindel³

et al. 2016

Fortschr Röntgenstr

View full text Add to dashboard Cite

show abstract

The use of hemodynamic support in massive pulmonary embolism

Dickert

Samady

Babaliaros

2017

Cathet Cardio Intervent

View full text Add to dashboard Cite

Massive pulmonary embolism is life threatening and can present as cardiogenic shock and cardiac arrest. We report a case of a 47-year-old male who arrested during his postoperative hospitalization and was found to have a massive pulmonary embolism with bilateral involvement of the pulmonary arteries. Given his profound shock and right ventricular failure, an Impella RP was used to stabilize his acute right ventricular failure while percutaneous embolectomy and thrombolysis was used to treat the pulmonary embolism. The patient underwent the procedure successfully with reduction in vasopressors and thrombus burden and recovery of right ventricular function. © 2017 Wiley Periodicals, Inc.

show abstract

Concomitant implantation of Impella^® on top of veno‐arterial extracorporeal membrane oxygenation may improve survival of patients with cardiogenic shock

Pappalardo

Schulte

Pieri

et al. 2016

European J of Heart Fail

436

316

View full text Add to dashboard Cite

show abstract

Extracorporeal membrane oxygenation: a radiologists' guide to who, what and where

Cited by 16 publications

References 13 publications

Extrakorporale Membranoxygenierung bei Erwachsenen – Varianten, Komplikationen unter Therapie und die Rolle der radiologischen Diagnostik

Extrakorporale Membranoxygenierung bei Erwachsenen – Varianten, Komplikationen unter Therapie und die Rolle der radiologischen Diagnostik

The use of hemodynamic support in massive pulmonary embolism

Concomitant implantation of Impella^® on top of veno‐arterial extracorporeal membrane oxygenation may improve survival of patients with cardiogenic shock

Contact Info

Product

Resources

About

Extracorporeal membrane oxygenation: a radiologists' guide to who, what and where

Cited by 16 publications

References 13 publications

Extrakorporale Membranoxygenierung bei Erwachsenen – Varianten, Komplikationen unter Therapie und die Rolle der radiologischen Diagnostik

Extrakorporale Membranoxygenierung bei Erwachsenen – Varianten, Komplikationen unter Therapie und die Rolle der radiologischen Diagnostik

The use of hemodynamic support in massive pulmonary embolism

Concomitant implantation of Impella® on top of veno‐arterial extracorporeal membrane oxygenation may improve survival of patients with cardiogenic shock

Contact Info

Product

Resources

About

Concomitant implantation of Impella^® on top of veno‐arterial extracorporeal membrane oxygenation may improve survival of patients with cardiogenic shock