Fracture of dual lumen cannula leading to cerebrovascular accident in a patient supported with ECMO

Salem T. Argaw; Paul J. Devlin; James A. Clark; Rafael Garza-Castillon; Chitaru Kurihara; Ankit Bharat

doi:10.1007/s10047-021-01306-z

Fracture of dual lumen cannula leading to cerebrovascular accident in a patient supported with ECMO

Salem T. Argaw, Paul J. Devlin, James A. Clark, Rafael Garza-Castillon, Chitaru Kurihara^*, Ankit Bharat^*

^*Corresponding author for this work

Surgery, Thoracic Surgery Division

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Extended duration extracorporeal membrane oxygenation (ECMO), using dual-lumen cannulas, is being used with increased frequency to support patients, including those with COVID-19; both as a bridge to transplant and lung recovery. During such an extended duration of support, there are several factors that might lead to the attrition of the physical structure of the ECMO cannulas, predisposing them to the risk of fracture. Although rare, fracture of the ECMO cannula can be a potentially lethal event. Here, we present a case where fracture of a dual lumen cannula during veno-venous (VV) ECMO support resulted in a cerebrovascular accident. We discuss the potential contributing factors and suggest steps to mitigate the risks for such a complication.

Original language	English (US)
Pages (from-to)	279-282
Number of pages	4
Journal	Journal of Artificial Organs
Volume	25
Issue number	3
DOIs	https://doi.org/10.1007/s10047-021-01306-z
State	Published - Sep 2022

Funding

This work was supported by the National Institutes of Health, NIH HL145478, HL147290, and HL147575 (to AB).

Keywords

Cannula
ECMO
Respiratory failure

ASJC Scopus subject areas

Medicine (miscellaneous)
Biomaterials
Biomedical Engineering
Cardiology and Cardiovascular Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10047-021-01306-z

Cite this

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title = "Fracture of dual lumen cannula leading to cerebrovascular accident in a patient supported with ECMO",

abstract = "Extended duration extracorporeal membrane oxygenation (ECMO), using dual-lumen cannulas, is being used with increased frequency to support patients, including those with COVID-19; both as a bridge to transplant and lung recovery. During such an extended duration of support, there are several factors that might lead to the attrition of the physical structure of the ECMO cannulas, predisposing them to the risk of fracture. Although rare, fracture of the ECMO cannula can be a potentially lethal event. Here, we present a case where fracture of a dual lumen cannula during veno-venous (VV) ECMO support resulted in a cerebrovascular accident. We discuss the potential contributing factors and suggest steps to mitigate the risks for such a complication.",

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doi = "10.1007/s10047-021-01306-z",

language = "English (US)",

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T1 - Fracture of dual lumen cannula leading to cerebrovascular accident in a patient supported with ECMO

AU - Argaw, Salem T.

AU - Devlin, Paul J.

AU - Clark, James A.

AU - Garza-Castillon, Rafael

AU - Kurihara, Chitaru

AU - Bharat, Ankit

PY - 2022/9

Y1 - 2022/9

N2 - Extended duration extracorporeal membrane oxygenation (ECMO), using dual-lumen cannulas, is being used with increased frequency to support patients, including those with COVID-19; both as a bridge to transplant and lung recovery. During such an extended duration of support, there are several factors that might lead to the attrition of the physical structure of the ECMO cannulas, predisposing them to the risk of fracture. Although rare, fracture of the ECMO cannula can be a potentially lethal event. Here, we present a case where fracture of a dual lumen cannula during veno-venous (VV) ECMO support resulted in a cerebrovascular accident. We discuss the potential contributing factors and suggest steps to mitigate the risks for such a complication.

AB - Extended duration extracorporeal membrane oxygenation (ECMO), using dual-lumen cannulas, is being used with increased frequency to support patients, including those with COVID-19; both as a bridge to transplant and lung recovery. During such an extended duration of support, there are several factors that might lead to the attrition of the physical structure of the ECMO cannulas, predisposing them to the risk of fracture. Although rare, fracture of the ECMO cannula can be a potentially lethal event. Here, we present a case where fracture of a dual lumen cannula during veno-venous (VV) ECMO support resulted in a cerebrovascular accident. We discuss the potential contributing factors and suggest steps to mitigate the risks for such a complication.

KW - Cannula

KW - ECMO

KW - Respiratory failure

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Fracture of dual lumen cannula leading to cerebrovascular accident in a patient supported with ECMO

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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