Bilateral femoral cannulation ss associated with reduced severe limb ischemia-related complications compared to unilateral femoral cannulation in adult peripheral V-A ECMO

Simons J, Di Mauro M, Mariani S, Ravaux J, Van Der Horst I, Driessen R, Sels JW, Delnoij T, Brodie D, Abrams D, Mueller T, Taccone FS, Belliato M, Broman ML, Malfertheiner MV, Boeken U, Fraser J, Wiedemann D, Belohlavek J, Barrett N, Tonna J, Pappalardo F, Barbaro R, Ramanathan K. Perfusion DOI 10.1177/02676591231162023

Objectives: Peripheral veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is obtained through uni- or bilateral femoral cannulation. Whether one cannulation strategy is associated with a lower risk for limb-ischemia remains unknown. We aim to study if one strategy is preferable.

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Donor heart ischemic time can be extended beyond 9 hours using hypothermic machine perfusion in sheep