Heart, Lung and Circulation
Image| Volume 32, ISSUE 3, e14-e15, March 2023

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This Is Not Ischaemia! Lower Extremity Hyperperfusion After Femoral Veno-Arterial Cannulation for Extracorporeal Membrane Oxygenation Support

Published:December 03, 2022DOI:
      A 49-year-old morbidly obese female was transferred to our hospital from an outside facility after presentation with hypotension and massive pulmonary embolism following a podiatric procedure. Emergency extracorporeal membrane oxygenation (ECMO) support was instituted by the referring hospital prior to transfer. Details of cannulation included the need to construct a “chimney” graft (8 mm Hemashield, Maquet, Rastatt, Germany) specifically to address the issue of an extremely small (<5 mm diameter) right common femoral artery. Direct right femoral vein cannulation was performed through the same incision, in standard fashion, utilising a 24 French cannula (Edwards Lifesciences, Irvine, CA, USA).


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