Two cases of complications associated with arterial cannula of Veno-Arterial Extracorporeal Membrane Oxygenation (V-A ECMO) in elderly patients.

DOI
  • Shigeta Kenta
    Department of emergency and critical care medicine, Nippon medical school
  • Masuno Tomohiko
    Department of emergency and critical care medicine, Nippon medical school
  • Kobayashi Junko
    Department of emergency and critical care medicine, Nippon medical school
  • Sasaki Kazuma
    Department of emergency and critical care medicine, Nippon medical school
  • Kanaya Takahiro
    Department of emergency and critical care medicine, Nippon medical school
  • Tominaga Naoki
    Department of emergency and critical care medicine, Nippon medical school
  • Akiyama Masayuki
    Department of emergency and critical care medicine, Nippon medical school
  • Nakae Ryuta
    Department of emergency and critical care medicine, Nippon medical school
  • Ishiki Yoshito
    Department of emergency and critical care medicine, Nippon medical school
  • Tsukamoto Takeshi
    Department of emergency and critical care medicine, Nippon medical school
  • Miyauchi Masato
    Department of emergency and critical care medicine, Nippon medical school
  • Yokota Hiroyuki
    Department of emergency and critical care medicine, Nippon medical school

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Other Title
  • 高齢者のV-A ECMO送血管留置に伴う合併症を生じた2例

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Abstract

<p>Quick and prompt cannulation is required for Veno-Arterial Extracorporeal Membrane Oxygenation (V-A ECMO), especially ECPR cases. Because of increase number of elderly patients with arteriosclerosis, it is not uncommon to encounter complications associated with cannulation. We report two elderly cases that direct contact of the cannula tip to arterial wall at right angle due to strong arterial meandering caused complications as severe hemolysis and aortic dissection. In elderly patients, it is necessary to place cannula in the right position considering arteriosclerosis and meandering of artery.</p>

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