title: A modified technique for insertion of dual lumen bicaval cannulae for venovenous extracorporeal membrane oxygenation.
abstract: OBJECTIVE
  Venovenous extracorporeal membrane oxygenation is used increasingly in adults with severe acute reversible respiratory failure. Cannulation is associated with a risk of vascular damage or cardiac perforation.
  
  
  RESULTS
  This report describes a modified technique of insertion for dual lumen bicaval cannulae. We have adopted the technique on 25 occasions and had no incidence of vascular damage or cardiac perforation.
  
  
  CONCLUSIONS
  We suggest that the technique may mitigate the risk of guidewire looping during insertion of the dilators/cannula and thereby reduce the risk of perforation of the right ventricle.
authors: Department of Cardiac Surgery, Royal Brompton Hospital, Sydney Street, London, United Kingdom.
authors: Richard H
authors: RH
authors: Trimlett
authors: Jeremy J
authors: JJ
authors: Cordingley
authors: Mark J
authors: MJ
authors: Griffiths
authors: Susanna
authors: S
authors: Price
authors: David N
authors: DN
authors: Hunter
authors: Simon J
authors: SJ
authors: Finney
mesh_terms: D002404:Catheterization / Q000379:methods*; D057785:Catheters; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation*; D006801:Humans; D012128:Respiratory Distress Syndrome