title: Prevalence of Venous Thrombosis Following Venovenous Extracorporeal Membrane Oxygenation in Patients With Severe Respiratory Failure.
abstract: OBJECTIVE
  Venovenous extracorporeal membrane oxygenation for patients with severe respiratory failure is increasingly common. There has been a significant change in the population, technology, and approach used for venovenous extracorporeal membrane oxygenation over the last 10 years. The objective of this study is to describe the prevalence of postdecannulation deep vein thrombosis in the cannulated vessel in adults who have received venovenous extracorporeal membrane oxygenation for severe respiratory failure.
  
  
  METHODS
  A single-center, retrospective, observational cohort, electronic note review study.
  
  
  METHODS
  Tertiary referral university teaching hospital.
  
  
  METHODS
  Patients commenced on venovenous extracorporeal membrane oxygenation for severe respiratory failure.
  
  
  METHODS
  None.
  
  
  RESULTS
  We identified 103 patients commenced on extracorporeal membrane oxygenation with 81 survivors from December 2011 to February 2014. We performed postdecannulation venous Doppler ultrasound in 88.9% of extracorporeal membrane oxygenation survivors. The prevalence of deep vein thrombosis in the cannulated vessel following extracorporeal membrane oxygenation is 8.1/1,000 cannula days in patients who were screened.
  
  
  CONCLUSIONS
  The prevalence of deep vein thrombosis following decannulation from extracorporeal membrane oxygenation for severe respiratory failure is clinically significant, and routine venous Doppler ultrasound following decannulation is warranted in this population.
authors: Department of Critical Care, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
authors: Eve
authors: E
authors: Cooper
authors: Janis
authors: J
authors: Burns
authors: Andrew
authors: A
authors: Retter
authors: Gavin
authors: G
authors: Salt
authors: Luigi
authors: L
authors: Camporota
authors: Christopher I S
authors: CI
authors: Meadows
authors: Christopher C J
authors: CC
authors: Langrish
authors: Duncan
authors: D
authors: Wyncoll
authors: Guy
authors: G
authors: Glover
authors: Nicholas
authors: N
authors: Ioannou
authors: Kathleen
authors: K
authors: Daly
authors: Nicholas A
authors: NA
authors: Barrett
mesh_terms: D000328:Adult; D002404:Catheterization / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012131:Respiratory Insufficiency / Q000628:therapy*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D062606:Tertiary Care Centers; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*