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< Vol. 37 Issue 10 (October 2014)

Direct complications of the Avalon bicaval dual-lumen cannula in respiratory extracorporeal membrane oxygenation (ECMO): Single-center experience

Direct complications of the Avalon bicaval dual-lumen cannula in respiratory extracorporeal membrane oxygenation (ECMO): Single-center experience

Int J Artif Organs 2014; 37(10): 741 - 747

Article Type: ORIGINAL ARTICLE

DOI:10.5301/ijao.5000357

Authors

Antonio Rubino, Alain Vuylsteke, David P. Jenkins, Jo-anne Fowles, Lisen Hockings, Kamen Valchanov

Corresponding author

  • Antonio Rubino
  • Department of Anaesthesia and Intensive Care
  • Cambridge CB233RE, UK
  • [email protected]

Abstract

Purpose

Cannulation for veno-venous extracorporeal membrane oxygenation (VVECMO) may involve a single site when using a dual-lumen cannula. Benefits include a decrease in blood recirculation, easier patient mobilization, and lower risk of dislodgment. We aimed to review all complications related to the cannula.

 Methods

The study included all adult patients admitted to a single intensive care unit (ICU), between November 2009 and September 2013, requiring VVECMO in whom an Avalon Cannula was inserted. The list of patients, complications, and patient data were retrieved from the local ECMO database and the intensive care Clinical Information System (CIS).

 Results

Seventy two patients were cannulated with an Avalon cannula between November 1, 2009 and September 31, 2013. Forty-four patients had no cannula-related complications. A total of 35 complications were recorded in 28 patients, 6 of whom required further intervention.

 Conclusions

Successful cannulation was possible in all patients with the majority of complications graded as minor.

Article History

  • • Accepted on 09/09/2014
  • • Available online on 13/10/2014
  • • Published in print on 31/10/2014

Disclosures

Financial Support: None.
Conflict of Interest: The authors declare that they have no competing interests.

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Authors

  • Rubino, Antonio [PubMed] [Google Scholar] 1, * Corresponding Author ([email protected])
  • Vuylsteke, Alain [PubMed] [Google Scholar] 1
  • Jenkins, David P. [PubMed] [Google Scholar] 2
  • Fowles, Jo-anne [PubMed] [Google Scholar] 3
  • Hockings, Lisen [PubMed] [Google Scholar] 1
  • Valchanov, Kamen [PubMed] [Google Scholar] 1

Affiliations

  • Anaesthesia and Intensive Care, Papworth Hospital, Cambridge - UK
  • Cardiothoracic Surgery, Papworth Hospital, Cambridge - UK
  • ECMO Services, Papworth Hospital, Cambridge - UK

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