Vascular anatomical considerations and clinical decision making during insertion of the Avalon® Elite Dual Lumen single-site veno-venous ECMO cannula in children weighing less than 20 kg

William Cory Ellis*, Michal Schafer, Cindy S. Barrett, Katie Butler, Andrew Sprowell, Mark Twite, Shannon Buckvold, Pei Ni Jone, Richard J. Ing

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

The correct selection and placement of a single-site Avalon® Elite Dual Lumen Cannula for veno-venous extracorporeal membrane oxygenation (ECMO) in children weighing less than 20 kg is dependent on both the mechanical characteristics of the catheter, including length and diameter, as well as the unique vascular anatomic considerations of the patient. This manuscript describes the development of a clinical strategy, over a four-year period from 2012-2016, for cannula selection to reduce the risk of migration and malposition in 20 critically ill children weighing less than 20 kg who presented for veno-venous ECMO.

Original languageEnglish (US)
Pages (from-to)267-271
Number of pages5
JournalPerfusion (United Kingdom)
Volume34
Issue number4
DOIs
StatePublished - May 1 2019

Keywords

  • Avalon
  • VV ECMO
  • cannulation
  • hepatic vein
  • malposition

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Advanced and Specialized Nursing
  • Safety Research

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