title: Transesophageal echocardiography-guided placement of internal jugular percutaneous venovenous bypass cannula in orthotopic liver transplantation.
abstract: Venovenous bypass has improved patient survival and decreased morbidity and mortality in the field of orthotopic liver transplantation. The standard at many transplant centers is the use of the internal jugular percutaneous venovenous bypass cannulae (PVVBC) for venous return to the patient. Placement of these large (18F) PVVBC may lead to several complications and requires confirmation before use. Use of transesophageal echocardiography, an effective and rapid method to guide placement of the PVVBC and minimize potential complications associated with insertion of the device, is described.
authors.affiliation: Department of Anesthesiology, University of Pittsburgh Medical Center, Pennsylvania.
authors.forename: Raymond M
authors.initials: RM
authors.lastname: Planinsic
authors.forename: Ramona
authors.initials: R
authors.lastname: Nicolau-Raducu
authors.forename: John C
authors.initials: JC
authors.lastname: Caldwell
authors.forename: Shushma
authors.initials: S
authors.lastname: Aggarwal
authors.forename: Ibtesam
authors.initials: I
authors.lastname: Hilmi
mesh_terms: D002406:Catheterization, Peripheral / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging; D016031:Liver Transplantation / Q000379:methods*