Inserting a venoarterial extracorporeal membrane oxygenation drainage cannula into the inferior vena cava through the internal jugular vein in a patient with an inferior vena cava filter.

ABSTRACT: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a critical treatment for patients with massive pulmonary embolism (PE) complicated by refractory cardiogenic shock. In this case, an inferior vena cava (IVC) filter and iliac vein thrombosis posed a risk of filter migration with conventional femoral venous access, necessitating an alternative drainage approach. We treated an 18-year-old male with hereditary thrombophilia due to a prothrombin gene (F2) mutation who presented with acute massive PE and cardiogenic shock. Following emergency pulmonary artery thrombectomy and IVC filter placement, VA-ECMO was initiated using right internal jugular vein cannulation for venous drainage and femoral artery cannulation for arterial return. Hemodynamic stability was rapidly achieved, allow

SUBMITTER: Zhao X 

PROVIDER: S-EPMC12557857 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature