Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2918428 | Heart, Lung and Circulation | 2014 | 4 Pages |
Abstract
The key to safe placement of a bicaval double lumen cannula for Venovenous Extracorporeal Membrane Oxygenation (VV ECMO) is to visualise correct guide wire placement in the inferior vena cava (IVC), thus aiding subsequent correct advancement of the cannula. Transoesophageal (TOE) and transthoracic (TTE) echocardiography, as well as fluoroscopy, have been described as aiding imaging techniques. We report a case of guide wire malposition into the right ventricle, despite echocardiographic confirmation of guide wire position deep into the IVC. This malposition, if undetected, may have resulted in potential life threatening complications.
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Authors
Konstantin Yastrebov, Con Manganas, Tejo Kapalli, Sheen Peeceeyen,