Clinical analysis of retrograde distal perfusion via posterior tibial artery in femoral veno-arterial extracorporeal membrane oxygenation
10.3760/cma.j.issn.1671-0282.2024.10.015
- VernacularTitle:静脉-动脉体外膜肺氧合经胫后动脉逆行性远端灌注的临床效果分析
- Author:
Kun LI
1
;
Dandan DING
;
Ruike MA
;
Dianming HAN
;
Zongwei GAO
;
Yifeng DU
;
Qingjuan SHANG
Author Information
1. 临沂市人民医院重症医学科，临沂 276000
- Keywords:
Veno-arterial extracorporeal membrane oxygenation;
Distal perfusion catheter;
Posterior tibial artery;
Retrograde distal perfusion;
anterograde distal per
- From:
Chinese Journal of Emergency Medicine
2024;33(10):1439-1443
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize and analyze the modalities and experience of retrograde distal perfusion with distal perfusion catheter (DPC) via cannulation of the posterior tibial artery in veno-arterial extracorporeal membrane oxygenation(V-A ECMO).Methods:The clinical data of 15 patients who were treated with V-A ECMO and underwent DPC placement via the posterior tibial artery in our hospital from January 2022 to June 2023 were retrospectively analyzed.Results:The V-A ECMO catheterization method in 15 patients was percutaneous puncture catheterization, and all of them underwent surgical incision to indwelling retrograde DPC through the posterior tibial artery: 6 cases of preventive catheterization, 9 cases of remedial catheterization, the success rate of one-time catheterization was 93.33%, and the type of catheter was mainly 6 F sheath (66.67%). There was no ALI in preventive catheterization, and one case of osteofascial compartment syndrome occurred in remedial catheterization, and the catheterization time was (20.73 ± 3.47) min.Conclusions:In V-A ECMO, placement of DPC via the posterior tibial artery for retrograde distal perfusion is perfectly feasible, and has a high success rate, which can prevent or treat lower extremity ischemia.
