Transesophageal Echocardiography-Guided ProtekDuo Percutaneous Temporary Right Ventricular Assist Device Cannulation Technique
Crawford B, Rawal S, Rackauskas M, Maybauer MO. Ann Card Anaesth DOI 10.4103/aca.aca_58_24
Short History on Protekduo: The ProtekDuo percutaneous temporary right ventricular assist device (RVAD) cannula has recently been established in combined acute right ventricular and acute respiratory failure. The ProtekDuo is a dual-lumen single-site cannula, that drains blood from the right atrium (RA) and returns blood into the pulmonary artery (PA), thereby bypassing the right ventricle (RV). When adding a membrane lung to the circuit, oxygenation can also be achieved in the form of venopulmonary (VP) extracorporeal membrane oxygenation (ECMO) in (dl) V-P configuration. We describe the technical aspects of cannulation and imaging using transesophageal echocardiography (TEE) guidance.