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The Annals of Thoracic Surgery, Vol 50, 670-671, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Improved cannulation method for extracorporeal membrane oxygenation

R Read, J St. Cyr, S Tornabene and G Whitman
Department of Surgery, University of Colorado Health Sciences Center, Denver 80220.

Extracorporeal membrane oxygenation has been shown to be useful for patients in reversible cardiogenic shock. Effective arterial cannulation techniques for infants have been developed that are simple to use and require minimal subsequent vascular repair or reconstruction after removal. Groin cannulation in adults frequently requires bidirectional arterial cannulation to ensure adequate distal perfusion as well as frequent complex arterial repairs after discontinuation. We describe a simple arterial cannulation technique using a single right- angle, high-flow arterial cannula. With this technique adequate bidirectional arterial perfusion is maintained with a single arterial cannula while the need for vascular repairs or reconstruction is minimized.

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