title: Insertion of the Avalon cannula for venovenous extracorporeal membrane oxygenation in a patient with an implanted ASD occlusion device.
abstract: Use of the Avalon Elite bicaval dual lumen catheter (Maquet Cardiopulmonary AG, Rastatt, Germany) can be effective in patients requiring venovenous extracorporeal membrane oxygenation (VV-ECMO) for adult respiratory distress syndrome (ARDS). Proper placement of the cannula is important in providing adequate therapy and avoiding life-threatening complications.  We report a case of successful cannulation in a patient with an implanted atrial septal defect (ASD) occlusion device who developed severe refractory ARDS.
authors.affiliation: Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA.|Nazih Zuhdi Transplant and Advance Cardiac Care Institute, INTEGRIS Baptist Medical Center, Oklahoma City, OK. Email:aghodsi@gmx.org.
authors.forename: Christopher
authors.initials: C
authors.lastname: Gordon
authors.affiliation: Nazih Zuhdi Transplant and Advance Cardiac Care Institute, INTEGRIS Baptist Medical Center, Oklahoma City, OK. Email:aghodsi@gmx.org.
authors.forename: Michael M
authors.initials: MM
authors.lastname: Koerner
authors.affiliation: Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Foy
authors.affiliation: Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA.
authors.forename: Aman
authors.initials: A
authors.lastname: Ali
authors.affiliation: Deptartment Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Zeriouh
authors.affiliation: Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA.
authors.forename: Edward
authors.initials: E
authors.lastname: Liszka
authors.affiliation: Nazih Zuhdi Transplant and Advance Cardiac Care Institute, INTEGRIS Baptist Medical Center, Oklahoma City, OK. Email:aghodsi@gmx.org.
authors.forename: Aly
authors.initials: A
authors.lastname: El-Banayosy
authors.affiliation: Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA.
authors.forename: Christoph
authors.initials: C
authors.lastname: Brehm
authors.affiliation: Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA.
authors.forename: Ali
authors.initials: A
authors.lastname: Ghodsizad
mesh_terms: D021721:Balloon Occlusion / Q000295:instrumentation*; D057785:Catheters; D005112:Extracorporeal Circulation / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006344:Heart Septal Defects, Atrial; D006801:Humans; D008875:Middle Aged; D012128:Respiratory Distress Syndrome / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome