高齢者のV-A ECMO送血管留置に伴う合併症を生じた2例

重田 健太; 増野 智彦; 小林 純子; 佐々木 和馬; 金谷 貴大; 富永 直樹; 秋山 真之; 中江 竜太; 石木 義人; 塚本 剛志; 宮内 雅人; 横田 裕行

doi:10.24697/jaamkanto.39.3_359

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

Kenta Shigeta, Tomohiko Masuno, Junko Kobayashi, Kazuma Sasaki, Takahiro Kanaya, Naoki Tominaga, Masayuki Akiyama, Ryuta Nakae, Yoshito Ishiki, Takeshi Tsukamoto, Masato Miyauchi, Hiroyuki Yokota

Author information

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

Keywords: cannulation, aortic dissection, hemolysis

JOURNAL FREE ACCESS

2019 Volume 39 Issue 3 Pages 359-362

DOI https://doi.org/10.24697/jaamkanto.39.3_359

Details

Abstract

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.

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