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The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure

This article describes a case study where a patient with ProtekDuo + oxygenator and Impella CP (PROpella) in biventricular failure and cardiogenic shock was reconfigured to venopulmonary-arterial (VP-A) extracorporeal membrane oxygenation (ECMO), secondary to leg ischemia. The ProtekDuo was subseque...

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Autores principales: Maybauer, Marc O., Swol, Justyna, Sharif, Ammar, Benson, Clayne, Brewer, Joseph M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10451139/
https://www.ncbi.nlm.nih.gov/pubmed/37470537
http://dx.doi.org/10.4103/aca.aca_150_22
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author Maybauer, Marc O.
Swol, Justyna
Sharif, Ammar
Benson, Clayne
Brewer, Joseph M.
author_facet Maybauer, Marc O.
Swol, Justyna
Sharif, Ammar
Benson, Clayne
Brewer, Joseph M.
author_sort Maybauer, Marc O.
collection PubMed
description This article describes a case study where a patient with ProtekDuo + oxygenator and Impella CP (PROpella) in biventricular failure and cardiogenic shock was reconfigured to venopulmonary-arterial (VP-A) extracorporeal membrane oxygenation (ECMO), secondary to leg ischemia. The ProtekDuo was subsequently used as double-lumen drainage cannula, returning blood into a newly percutaneously placed femoral arterial cannula, mimicking venoarterial (V-A) ECMO in VP-A configuration. The following day, an Impella 5.5 could be placed and the ProtekDuo was reconfigured back to its default venopulmonary (V-P) ECMO configuration, now again as PROpella with minimally invasive biventricular groin-free full mechanical circulatory support. However, while in VP-A, good drainage blood flows of up to 4.5 LPM could be achieved similar to the ProtekDuo forward flow. None of the lumens collapsed secondary to negative pressure in the system. Drainage through the ProtekDuo for VP-A ECMO is feasible and without complications for a 24-hour period. This new method extends the ProtekDuo’s spectrum of use.
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spelling pubmed-104511392023-08-26 The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure Maybauer, Marc O. Swol, Justyna Sharif, Ammar Benson, Clayne Brewer, Joseph M. Ann Card Anaesth Case Report This article describes a case study where a patient with ProtekDuo + oxygenator and Impella CP (PROpella) in biventricular failure and cardiogenic shock was reconfigured to venopulmonary-arterial (VP-A) extracorporeal membrane oxygenation (ECMO), secondary to leg ischemia. The ProtekDuo was subsequently used as double-lumen drainage cannula, returning blood into a newly percutaneously placed femoral arterial cannula, mimicking venoarterial (V-A) ECMO in VP-A configuration. The following day, an Impella 5.5 could be placed and the ProtekDuo was reconfigured back to its default venopulmonary (V-P) ECMO configuration, now again as PROpella with minimally invasive biventricular groin-free full mechanical circulatory support. However, while in VP-A, good drainage blood flows of up to 4.5 LPM could be achieved similar to the ProtekDuo forward flow. None of the lumens collapsed secondary to negative pressure in the system. Drainage through the ProtekDuo for VP-A ECMO is feasible and without complications for a 24-hour period. This new method extends the ProtekDuo’s spectrum of use. Wolters Kluwer - Medknow 2023 2023-07-07 /pmc/articles/PMC10451139/ /pubmed/37470537 http://dx.doi.org/10.4103/aca.aca_150_22 Text en Copyright: © 2023 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Maybauer, Marc O.
Swol, Justyna
Sharif, Ammar
Benson, Clayne
Brewer, Joseph M.
The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure
title The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure
title_full The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure
title_fullStr The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure
title_full_unstemmed The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure
title_short The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure
title_sort protekduo in percutaneous peripheral venopulmonary-arterial ecmo and propella configuration for cardiogenic shock with biventricular failure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10451139/
https://www.ncbi.nlm.nih.gov/pubmed/37470537
http://dx.doi.org/10.4103/aca.aca_150_22
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