Blood Return Cannula via the Left Internal Jugular Vein for Venovenous Extracorporeal Membrane Oxygenation：A Case Report

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  • MURAYAMA Seiya
    Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine
  • NAKAMURA Tomoyuki
    Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine
  • HARA Yoshitaka
    Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine
  • KAWAJI Takahiro
    Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine
  • KOMURA Hidefumi
    Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine
  • NISHIDA Osamu
    Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine

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  • 左内頚静脈からの送血カニューレ留置によるVV ECMOで管理した1例

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<p>The left internal jugular vein is reported to have more mechanical complications in central venous catheter placement, than the right, so the left internal jugular vein is not selected for VV ECMO unless the right internal jugular vein is unavailable. A 64-year-old male with severe pneumonia had an obstructed right internal jugular vein due to thromboembolism, which was caused by a previous central venous catheter insertion in this vein. Therefore, the left internal jugular vein was utilized for VV ECMO. In order to successfully perform VV ECMO using the left jugular vein, the course and diameter of the vein must be carefully evaluated by sonography and CT scan prior to placement. Insertion requires cautious, fluoroscopy-guided manipulation, and the cannula tip must be precisely positioned to avoid mechanical complications during VV ECMO.</p>

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