Abstract
Contemporary modalities for cardiopulmonary support during lung transplantation include traditional cardiopulmonary bypass (CPB) and venoarterial extracorporeal membrane oxygenation (VAECMO). While highly effective, both are associated with morbidities such as arteriopathy and bleeding diathesis. In this report, we describe a novel approach for cardiopulmonary support during double lung transplantation in a patient with end-stage lung disease, pulmonary hypertension and moderate right ventricle (RV) dysfunction, using a percutaneous dual lumen cannula placed via the jugular vein which allowed us to achieve both RV bypass and membrane oxygenation. The cannula was left in place to provide ongoing RV support and the patient was successfully decannulated at bedside on post-operative day (POD) 2. Lack of arterial cannulation, percutaneous access, and bedside decannulation are benefits of this strategy, rendering this approach a useful addition to the armamentarium for CPB techniques in lung transplantation.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E142-E144 |
| Journal | Journal of Thoracic Disease |
| Volume | 10 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2018 |
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Keywords
- Cardiopulmonary support
- Extracorporeal membrane oxygenation (ECMO)
- Lung transplantation
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
Cite this
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A novel strategy for cardiopulmonary support during lung transplantation. / Fernandez, Ramiro; DeCamp Jr, Malcom McAvoy; Bharat, Ankit.
In: Journal of Thoracic Disease, Vol. 10, No. 2, 01.02.2018, p. E142-E144.Research output: Contribution to journal › Article
TY - JOUR
T1 - A novel strategy for cardiopulmonary support during lung transplantation
AU - Fernandez, Ramiro
AU - DeCamp Jr, Malcom McAvoy
AU - Bharat, Ankit
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Contemporary modalities for cardiopulmonary support during lung transplantation include traditional cardiopulmonary bypass (CPB) and venoarterial extracorporeal membrane oxygenation (VAECMO). While highly effective, both are associated with morbidities such as arteriopathy and bleeding diathesis. In this report, we describe a novel approach for cardiopulmonary support during double lung transplantation in a patient with end-stage lung disease, pulmonary hypertension and moderate right ventricle (RV) dysfunction, using a percutaneous dual lumen cannula placed via the jugular vein which allowed us to achieve both RV bypass and membrane oxygenation. The cannula was left in place to provide ongoing RV support and the patient was successfully decannulated at bedside on post-operative day (POD) 2. Lack of arterial cannulation, percutaneous access, and bedside decannulation are benefits of this strategy, rendering this approach a useful addition to the armamentarium for CPB techniques in lung transplantation.
AB - Contemporary modalities for cardiopulmonary support during lung transplantation include traditional cardiopulmonary bypass (CPB) and venoarterial extracorporeal membrane oxygenation (VAECMO). While highly effective, both are associated with morbidities such as arteriopathy and bleeding diathesis. In this report, we describe a novel approach for cardiopulmonary support during double lung transplantation in a patient with end-stage lung disease, pulmonary hypertension and moderate right ventricle (RV) dysfunction, using a percutaneous dual lumen cannula placed via the jugular vein which allowed us to achieve both RV bypass and membrane oxygenation. The cannula was left in place to provide ongoing RV support and the patient was successfully decannulated at bedside on post-operative day (POD) 2. Lack of arterial cannulation, percutaneous access, and bedside decannulation are benefits of this strategy, rendering this approach a useful addition to the armamentarium for CPB techniques in lung transplantation.
KW - Cardiopulmonary support
KW - Extracorporeal membrane oxygenation (ECMO)
KW - Lung transplantation
UR - http://www.scopus.com/inward/record.url?scp=85042076707&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85042076707&partnerID=8YFLogxK
U2 - 10.21037/jtd.2017.12.111
DO - 10.21037/jtd.2017.12.111
M3 - Article
VL - 10
SP - E142-E144
JO - Journal of Thoracic Disease
JF - Journal of Thoracic Disease
SN - 2072-1439
IS - 2
ER -