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KMID : 1144420200350030207
Acute and Critical Care
2020 Volume.35 No. 3 p.207 ~ p.212
Percutaneous bicaval dual lumen cannula for extracorporeal life support
Kim Woo-Jung

Kwon Hye-Won
Min Joon-Cheol
Cho Sung-Kyu
Kwak Jae-Gun
Park June-Dong
Kim Woong-Han
Abstract
Veno-venous extracorporeal membrane oxygenation (ECMO) is a useful mechanical device for pediatric patients with severe respiratory failure. Conventional veno-venous ECMO using double cannulation, however, is not feasible due to size limitations in pediatric patients who have small femoral vessels. Recently, percutaneous bicaval dual-lumen cannula can be inserted using single cannulation via the right internal jugular vein. Herein, we report the case of a pediatric patient with severe respiratory failure who was weaned off the ECMO successfully after treatment with bicaval dual-lumen cannulation for 5 days despite the small body size and immunocompromised condition due to chemotherapy for hemophagocytic lymphohistiocytosis.
KEYWORD
extracorporeal membrane oxygenation, pediatrics, respiratory insufficiency
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