Percutaneous Decannulation of Femoral Venoarterial ECMO Cannulas Using MANTA Vascular Closure Device

José M Montero-Cabezas; R W van der Meer; Frank van der Kley; Carlos V Elzo Kraemer; Jorge E López Matta; Martin J Schalij; A de Weger

doi:10.1016/j.cjca.2019.02.010

Percutaneous Decannulation of Femoral Venoarterial ECMO Cannulas Using MANTA Vascular Closure Device

Can J Cardiol. 2019 Jun;35(6):796.e9-796.e11. doi: 10.1016/j.cjca.2019.02.010. Epub 2019 Feb 21.

Authors

José M Montero-Cabezas¹, R W van der Meer², Frank van der Kley³, Carlos V Elzo Kraemer⁴, Jorge E López Matta⁴, Martin J Schalij³, A de Weger⁵

Affiliations

¹ Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands. Electronic address: J.M.Montero_Cabezas@lumc.nl.
² Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
³ Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
⁴ Department of Intensive Care, Leiden University Medical Center, Leiden, The Netherlands.
⁵ Department of Thoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.

PMID: 31151721
DOI: 10.1016/j.cjca.2019.02.010

Abstract

Extracorporeal membrane oxygenation (ECMO) has been increasingly used in the treatment of refractory cardiac arrest and postarrest cardiogenic shock. We propose a technique for percutaneous decannulation of femoral venoarterial ECMO cannulas by using the MANTA vascular closure device, designed to close large-bore arteriotomies. This technique significantly simplifies the decannulation and might diminish the potential complications caused by the standard surgical removal.

Publication types

Case Reports

MeSH terms

Cannula*
Catheterization, Peripheral / methods*
Device Removal / methods*
Extracorporeal Membrane Oxygenation / instrumentation*
Femoral Artery
Humans
Male
Middle Aged
Shock, Cardiogenic / therapy*
Vascular Closure Devices*