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Spinal cord infarction and peripheral extracorporeal membrane oxygenation: a case series.


ABSTRACT:

Background

Veno-arterial extracorporeal membrane oxygenation (VA ECMO) is increasingly utilized in patients with cardiogenic shock due to improved technology and outcomes. Peripheral VA ECMO offers several advantages over central ECMO and is becoming increasingly popular. However, when configured via the femoral vessels, retrograde flow to the descending aorta and arch of aorta competes with antegrade ventricular output and can be associated with a watershed phenomenon and increased risk of neurologic and visceral injury.

Case summary

In this case series, we report three patients who were supported with peripheral VA ECMO for cardiogenic shock. All three were successfully weaned from peripheral VA ECMO; however, they had developed bilateral lower limb paralysis. Magnetic res

SUBMITTER: Gangahanumaiah S 

PROVIDER: S-EPMC8684805 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature