دورية أكاديمية

Utilization of ECMO in vascular surgery: A presentation of two cases.

التفاصيل البيبلوغرافية
العنوان: Utilization of ECMO in vascular surgery: A presentation of two cases.
المؤلفون: Shoukry, Mira, Jorgensen, Matthew S., Solak, Sila, Pham, Si M., Martin, Archer K., Farres, Houssam
المصدر: International Journal of Surgery Case Reports; Aug2021, Vol. 85, pN.PAG-N.PAG, 1p
مستخلص: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a form of temporary mechanical circulatory support commonly used during cardiothoracic interventions. Malperfusion during complex vascular procedures remains a significant risk that may potentially lead to multiple complications. Here, we report two cases highlighting the efficacy of VA-ECMO in both planned and emergent vascular interventions. In our first case, VA-ECMO was used to support an 82-year-old male during a high-risk thoracoabdominal aortic aneurysm repair. Our second case details an emergent pulmonary embolectomy in which VA-ECMO was used as a bridge to cardiopulmonary bypass. In both cases, the procedures were well-tolerated, and the patients were discharged 17 days postoperatively. VA-ECMO has been increasingly used as a form of post-operative circulatory support following cardiothoracic and vascular interventions. However, only few instances of perioperative VA-ECMO use have been reported in the field of vascular surgery. The presented cases highlight that the perioperative use of VA-ECMO may be a viable modality for required perfusion during complex planned or emergent vascular procedures. • Perioperative use of VA-ECMO in vascular surgery has not been sufficiently explored. • VA-ECMO can be used to maintain perfusion during high-risk vascular interventions. • VA-ECMO can serve as a bridge to cardiopulmonary bypass in emergent scenarios. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Supplemental Index
الوصف
تدمد:22102612
DOI:10.1016/j.ijscr.2021.106141