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The ProtekDuo as double lumen return cannula in V-VP ECMO configuration: A first-in-man method description


1 Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK; Department of Medicine and Cardiology, Oklahoma State University Health Science Center, Tulsa, OK, USA; Department of Anaesthesiology and Intensive Care Medicine, Philipps University, Marburg, Germany; Critical Care Research Group, The Prince Charles Hospital, The University of Queensland, Brisbane, Australia
2 Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK; Baylor Scott & White Health, Cardiovascular Institute and Texas A&M University College of Medicine, TX, United States
3 Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA
4 Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City; Department of Medicine and Cardiology, Oklahoma State University Health Science Center, Tulsa, OK, USA

Correspondence Address:
Marc O Maybauer
Nazih Zuhdi Transplant Institute, Integris Baptist Medical Center, 3400 NW Expressway, Oklahoma City, OK - 73112

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_49_21

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Year : 2022  |  Volume : 25  |  Issue : 2  |  Page : 217-219

 

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We present a case of acute respiratory distress syndrome (ARDS) secondary to COVID-19 who required venovenous extracorporeal membrane oxygenation (V-V ECMO). Initially, a right ventricular assist device (RVAD), the ProtekDuo with an oxygenator, was placed in an outside heart center and the patient was transferred to us for ECMO management. Due to severe hypoxia, the configuration was later modified, and a 25 Fr femoral drainage cannula was inserted for venous drainage only. The arterial return tubing was spliced and using a Y-connector, arterialized blood was returned through both limbs of the ProtekDuo resulting in a significantly increased oxygenation and flow.






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1 Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK; Department of Medicine and Cardiology, Oklahoma State University Health Science Center, Tulsa, OK, USA; Department of Anaesthesiology and Intensive Care Medicine, Philipps University, Marburg, Germany; Critical Care Research Group, The Prince Charles Hospital, The University of Queensland, Brisbane, Australia
2 Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK; Baylor Scott & White Health, Cardiovascular Institute and Texas A&M University College of Medicine, TX, United States
3 Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA
4 Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City; Department of Medicine and Cardiology, Oklahoma State University Health Science Center, Tulsa, OK, USA

Correspondence Address:
Marc O Maybauer
Nazih Zuhdi Transplant Institute, Integris Baptist Medical Center, 3400 NW Expressway, Oklahoma City, OK - 73112

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_49_21

Rights and Permissions

We present a case of acute respiratory distress syndrome (ARDS) secondary to COVID-19 who required venovenous extracorporeal membrane oxygenation (V-V ECMO). Initially, a right ventricular assist device (RVAD), the ProtekDuo with an oxygenator, was placed in an outside heart center and the patient was transferred to us for ECMO management. Due to severe hypoxia, the configuration was later modified, and a 25 Fr femoral drainage cannula was inserted for venous drainage only. The arterial return tubing was spliced and using a Y-connector, arterialized blood was returned through both limbs of the ProtekDuo resulting in a significantly increased oxygenation and flow.






[FULL TEXT] [PDF]*


        
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