Fibroelastic Tissue Ring Causing ECMO Catheter Obstruction

James Z. Zhang, MD; Nath Limpruttidham, MD; Isaac Mizrahi, MD; Jeffrey Lau, MD; Kristen Costales, CCP; Corey J. Lum, DO; Michael Tanoue, MD; Peter Tsai, MD; Dipanjan Banerjee, MD, MS

JACC: Case Reports (Mar 2021)

Fibroelastic Tissue Ring Causing ECMO Catheter Obstruction

James Z. Zhang, MD,
Nath Limpruttidham, MD,
Isaac Mizrahi, MD,
Jeffrey Lau, MD,
Kristen Costales, CCP,
Corey J. Lum, DO,
Michael Tanoue, MD,
Peter Tsai, MD,
Dipanjan Banerjee, MD, MS

Affiliations

James Z. Zhang, MD: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA
Nath Limpruttidham, MD: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA
Isaac Mizrahi, MD: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA
Jeffrey Lau, MD: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA; Department of Medicine, John A. Burns School of Medicine, University of Hawai’i, Honolulu, Hawaii, USA
Kristen Costales, CCP: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA
Corey J. Lum, DO: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA; Department of Medicine, John A. Burns School of Medicine, University of Hawai’i, Honolulu, Hawaii, USA
Michael Tanoue, MD: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA; Department of Medicine, John A. Burns School of Medicine, University of Hawai’i, Honolulu, Hawaii, USA
Peter Tsai, MD: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA; Department of Medicine, John A. Burns School of Medicine, University of Hawai’i, Honolulu, Hawaii, USA
Dipanjan Banerjee, MD, MS: Queen’s Heart Institute, The Queen’s Medical Center, Honolulu, Hawaii, USA; Department of Medicine, John A. Burns School of Medicine, University of Hawai’i, Honolulu, Hawaii, USA; Address for correspondence: Dr. Dipanjan Banerjee, Department of Medicine, John A. Burns School of Medicine, University of Hawai’i, 550 South Beretania Street, Suite 601, Honolulu, Hawaii 96813, USA.

Journal volume & issue: Vol. 3, no. 3
pp. 464 – 468

Abstract

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The Avalon Elite catheter (Maquet Cardiopulmonary, Rastatt, Germany) is a bicaval catheter for single-site cannulation that can be used in the initiation of venovenous extracorporeal membrane oxygenation (ECMO) or as a transition from venoarterial ECMO. We report a unique complication of tissue obstructing the outflow aperture during insertion. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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