Drainage From Superior Vena Cava Improves Upper Body Oxygenation in Patients on Femoral Veno-Arterial Extracorporeal Membrane Oxygenation.

ABSTRACT:

Objective

To investigate the feasibility of drainage from the superior vena cava (SVC) to improve upper body oxygenation in patients with cardiogenic shock undergoing femoral veno-arterial extracorporeal membrane oxygenation (VA ECMO).

Methods

Seventeen adult patients receiving peripheral femoral VA ECMO for circulatory support were enrolled. The femoral drainage cannula was shifted three times (from the inferior vena cava (IVC) level to the SVC level and then the IVC level again), all under ultrasound guidance, at an interval of 15 minutes. The blood gas levels of the right radial artery (RA) and SVC and cerebral oxygen saturation (ScO₂) were measured and compared.

Results

Fifteen patients (88.2%) were successfully weaned from ECMO, and 12 patients (70.6%)

SUBMITTER: Cai T 

PROVIDER: S-EPMC8886363 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature