A novel strategy to reduce the recirculation of venovenous extracorporeal membrane oxygenation: Inferior vena cava closure technology

The recirculation of venovenous extracorporeal membrane oxygenation (VV-ECMO) will decrease the efficiency of respiratory support. We report a patient with refractory severe acute respiratory distress syndrome (ARDS). Even with the support of ECMO and mechanical ventilation (MV), it is still difficu...

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Published in:Perfusion 2024-03, Vol.39 (2), p.433-435
Main Authors: Hou, Liusheng, Li, Jianwei, Wang, Wanyi, Liang, Hongkai, Zhang, Jian, Li, Binfei, Yong, Yuan
Format: Article
Language:English
Subjects:
Angiography
Balloon catheters
Extracorporeal Membrane Oxygenation
Humans
Hypoxemia
Hypoxia
Mechanical ventilation
Medical instruments
Membranes
Occlusion
Oxygenation
Respiration, Artificial
Respiratory distress syndrome
Respiratory Distress Syndrome - therapy
Vascular Diseases
Vena Cava, Inferior - surgery
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Summary:The recirculation of venovenous extracorporeal membrane oxygenation (VV-ECMO) will decrease the efficiency of respiratory support. We report a patient with refractory severe acute respiratory distress syndrome (ARDS). Even with the support of ECMO and mechanical ventilation (MV), it is still difficult to correct hypoxemia. In this case, we placed a balloon catheter above the ECMO drainage cannula in inferior vena cava (IVC), and then occlusion the IVC with the water-filled balloon. After the occlusion, the patient’s hypoxemia was quickly improved, and angiography proved that the recirculation has been significantly reduced. In this case, IVC occlusion technology greatly reduces recirculation. Its advantages lie in simple operation, low cost, short term safety, which probably act as an innovative method to reduce recirculation.
ISSN:0267-6591
1477-111X
1477-111X
DOI:10.1177/02676591221144171