title: Lower limb overflow syndrome in extracorporeal membrane oxygenation.
abstract: Peripheral extracorporeal membrane oxygenation (ECMO) is associated with a not negligible rate of vascular morbidity. Most vascular complications are related to limb ischaemia mainly due to insufficient limb perfusion or embolic events. To the best of our knowledge, this is the first report of a severe epidermolysis and overflow syndrome as a result of an overperfusion phenomenon through an unknown femoral arterio-venous fistula in a patient requiring ECMO support.
authors.affiliation: Department of Cardiac Surgery, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain victor.x.mosquera.rodriguez@sergas.es vxmr@yahoo.es.
authors.forename: Victor X
authors.initials: VX
authors.lastname: Mosquera
authors.affiliation: Intensive Care Unit, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
authors.forename: Miguel
authors.initials: M
authors.lastname: Solla-Buceta
authors.affiliation: Department of Cardiac Surgery, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
authors.forename: Concepción
authors.initials: C
authors.lastname: Pradas-Irún
authors.affiliation: Department of Cardiac Surgery, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Fernández-Arias
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D001768:Blister / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D004487:Edema / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects*; D005263:Femoral Artery / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery; D005268:Femoral Vein / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D061330:Multidetector Computed Tomography; D012039:Regional Blood Flow; D013577:Syndrome
keywords: Arterio-venous fistula; Extracorporeal membrane oxygenation, Peripheral vascular disease; Surgery, Complications