title: Arterial vascular complications in peripheral extracorporeal membrane oxygenation support: a review of techniques and outcomes.
abstract: Peripheral venoarterial extracorporeal membrane oxygenation support provides prolonged support in the event of acute or acute-on-chronic cardiac and/or respiratory failure. This support serves as a bridge to recovery, decision-making, heart transplantation or ventricular-assist device implantation. It can be implanted either through a percutaneous approach using Seldinger's technique or via an open approach via the common femoral artery or the axillary artery. Early and late arterial vascular complications remain an important issue, with rates of up to 28% with femoral and axillary cannulation sites. Among them, limb ischemia requires prompt diagnosis and management to avoid limb amputation. In the case of peripheral artery cannulation, ipsilateral distal limb perfusion to prevent acute limb ischemia can be performed via a single lumen catheter through the artery or via the 'chimney graft' technique during extracorporeal membrane oxygenation implantation.
authors.affiliation: Department of Cardiac Surgery, Bichat Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Roussel
authors.forename: Nawwar
authors.initials: N
authors.lastname: Al-Attar
authors.forename: Feras
authors.initials: F
authors.lastname: Khaliel
authors.forename: Soleiman
authors.initials: S
authors.lastname: Alkhoder
authors.forename: Richard
authors.initials: R
authors.lastname: Raffoul
authors.forename: Faisal
authors.initials: F
authors.lastname: Alfayyadh
authors.forename: Marina
authors.initials: M
authors.lastname: Rigolet
authors.forename: Patrick
authors.initials: P
authors.lastname: Nataf
mesh_terms: D002406:Catheterization, Peripheral / Q000009:adverse effects*; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects* / Q000379:methods*; D005263:Femoral Artery; D006801:Humans; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control