title: Preparation and technical considerations for percutaneous cannulation for veno-arterial extracorporeal membrane oxygenation.
abstract: BACKGROUND
  The most frequent limb complications from peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) are limb ischemia and localized bleeding. To minimize these risks, perfusion of the distal limb with peripheral percutaneous cannulation was done.
  
  
  METHODS
  Percutaneous cannulation with a distal perfusion port was performed in all patients. During the VA-ECMO, distal limb perfusion was monitored using near-infrared spectroscopy to assess tissue oxygenation. At the decannulation, patch angioplasty was performed to prevent the development of narrowing of the artery at the cannulation site.
  
  
  CONCLUSIONS
  Using our standard technique, we have not experienced any limb loss related to ischemia or bleeding.
authors: Department of Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA.
authors: Kathleen M
authors: KM
authors: Lamb
authors: Hitoshi
authors: H
authors: Hirose
authors: Nicholas C
authors: NC
authors: Cavarocchi
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005268:Femoral Vein; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D007511:Ischemia / Q000209:etiology / Q000517:prevention & control*; D007866:Leg / Q000098:blood supply*