ECMO Related Complications: Cannula Thrombosis, Diagnosis and Strategy - A Clinical Case

Yuthiline Chabry*¹, Misbaou Barry¹, Alphonse Nzomvuama¹, Daniel Herduin², Mathieu Guilbart³ and Thierry Caus¹

Received: February 16, 2018;   Published: February 23, 2018

DOI: 10.26717/BJSTR.2018.02.000793

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Abstract

Following the development of ECMO, new complications related to its use are occurring. Sharing feedback is the key to improve the efficiency of the management of those complications, for the safety of the patient who is frequently dependent on the ECMO therapy. We report the case of a venous cannula thrombosis occurring on a 43-year old patient for which the least malfunction of the ECMO equipment would immediately induce a drop in the SpO2. After a multidisciplinary discussion regarding the precise diagnosis and the therapeutic strategy, the replacement of the femoral vein cannula happened to restore the patient’s condition and to enable the subsequent successful weaning from ECMO.

Keywords: ECMO; Cannula; Thrombosis; Owblood Flow

Abbreviations: ECMO: Extra Corporeal Membrane Oxygenation; SpO2: Blood Oxygen Saturatio; ARDS: Acute Respiratory Distress Syndrome; IVC: Inferior Vena Cava

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