Lower Limb Ischemia in Surgical Femoral Veno-Arterial Extracorporeal Membrane Oxygenation

Dragulescu, Razvan; Armoiry, Xavier; Jacquet-Lagrèze, Matthias; Portran, Philippe; Schweizer, Rémi; Fellahi, J.-L.; Grinberg, Daniel; Obadia, Jean François; Pozzi, Mattéo

doi:10.1053/j.jvca.2023.07.025

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…Despite this, bilateral cannulation is associated with a reduced risk of compartment syndrome/fasciotomy, a lower incidence of bleeding, and vessel repair [ 6 ]. Additionally, employing a surgical approach is linked to a low incidence of LLI without an increased risk of in-hospital mortality [ 7 ]. Therefore, we propose percutaneous implantation with temporary disregard for limb perfusion at the incident site, followed by DPC implantation upon hospital arrival, and ultimately, the surgical removal of cannulas from the femoral vessels.…”

Section: Discussionmentioning

confidence: 99%

Successful Prehospital Extracorporeal Cardiopulmonary Resuscitation: A Comprehensive Case Report and Analysis of the Current Experience and Knowledge

Leivaditis,

Papatriantafyllou,

Khokhar

et al. 2023

Cureus

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This case report describes a prehospital extracorporeal cardiopulmonary resuscitation (ECPR) in a female patient who suffered a sudden cardiac arrest while shopping in a supermarket. The success of this intervention marks the first of its kind in our institution and highlights the potential of prehospital application of extracorporeal membrane oxygenation (ECMO) systems in life-threatening scenarios. Despite the complicated challenges faced in this case, the patient exhibited a favorable neurological outcome. This case underscores the potential of prehospital ECMO in cardiac arrest scenarios and the benefits of a coordinated, multidisciplinary approach. As prehospital ECMO evolves, it offers hope for saving lives in critical situations where rapid intervention is essential.

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Section: Discussionmentioning

confidence: 99%