Hemolysis and Nonhemorrhagic Stroke During Venoarterial Extracorporeal Membrane Oxygenation

Stroke Patterns and Cannulation Strategy during Veno-Arterial Extracorporeal Membrane Support

“…In a retrospective, single-center study, Saeed et al found a strong association between early low-level hemolysis (i.e. 48-hour plasma-free hemoglobin 11-50 mg/dL) with subsequent non-hemorrhagic stroke 15 . However, both studies were limited by small number of cases with the main outcome variable.…”

Cannula migration through an undiagnosed patent foramen ovale and embolic cerebrovascular accident in a patient with femoral venoarterial extracorporeal membrane oxygenation

“…Despite many recent technical and medical advancements in extracorporeal membrane oxygenation (ECMO), both ischemic and hemorrhagic stroke remain a common and potentially devastating complication. [1][2][3] We present a case report of a patient on venoarterial…”

“…Despite many recent technical and medical advancements in extracorporeal membrane oxygenation (ECMO), both ischemic and hemorrhagic stroke remain a common and potentially devastating complication 1‐3 . We present a case report of a patient on venoarterial (VA) ECMO who developed venous cannula migration through an undiagnosed patent foramen ovale (PFO) causing an ischemic stroke due to a thrombus and requiring thrombectomy and device closure of the atrial defect after weaning and decannulation of ECMO.…”

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We present a case report of a patient with a pulmonary embolus placed on venoarterial extracorporeal membrane oxygenation who developed venous cannula migration through an undiagnosed patent foramen ovale causing an ischemic stroke due to a thrombus and requiring thrombectomy and device closure of the atrial defect.

K E Y W O R D S cardiovascular pathology, perfusionDespite many recent technical and medical advancements in extracorporeal membrane oxygenation (ECMO), both ischemic and hemorrhagic stroke remain a common and potentially devastating complication. [1][2][3] We present a case report of a patient on venoarterial

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Supporting the circulation, but injuring the brain: the (still unsolved) threat and paradox of extracorporeal life support

“…Several important studies have shown some clues and highlighted predisposing factors which should be taken into consideration (Table 1). [1][2][3][4][5][6][7][8][9][10][11][12] Furthermore, it is also of paramount importance to use continuous multimodal monitoring and institute prompt advanced imaging. 13 But can we really improve the fate in this respect?…”