Case ReportsCarotid Artery Pseudoaneurysm as a Complication of ECMO
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Cited by (17)
Cannulation and decannulation techniques for neonatal ECMO
2022, Seminars in Fetal and Neonatal MedicineCitation Excerpt :Aspirin is often continued for 3 months, but there is no consensus on post-reconstruction surveillance or management. Potential complications include pseudoaneurysm and swelling from vascular congestion and are fortunately rare [33,34]. Overall, in patients who have undergone repair, the published carotid patency rates are fairly high with range of 73–96%, but there are limited long-term data.
Common carotid artery imaging after vessel sparing decannulation from Extracorporeal Membrane Oxygenation (ECMO) support
2021, Journal of Pediatric SurgeryCitation Excerpt :Further study of the VST decannulation is needed so surgeons can compare the risks and benefits of VST to carotid ligation, which is known to have a low risk of acute complication. Pseudoaneurysms are well described in other populations but are rarely reported as a complication of ECMO [14]. Vessel wall defects are at risk of enlargement and rupture.
Use of venovenous extracorporeal membrane oxygenation in central airway obstruction to facilitate interventions leading to definitive airway security
2013, Journal of Critical CareCitation Excerpt :A venoarterial approach is indicated if the patient is in cardiac arrest or shock, whereas the VV technique may be sufficient when only ventilation and oxygenation are required. Compared with VV ECMO, venoarterial ECMO reduces pulmonary blood flow and is associated with a higher incidence of neurologic events (eg, cerebral infarction, microemboli, or hemorrhage), cognitive impairment, and major local complications such as arterial dissection, pseudoaneurysm formation, or limb ischemia [9–11]. Thus, as in our cases, the VV ECMO approach may be more suitable than venoarterial ECMO for providing anticipatory support in patients who require adequate oxygenation and ventilation while complex interventions to manage the airways are performed.
Use of venovenous extracorporeal membrane oxygenation under regional anesthesia for a high-risk rigid bronchoscopy
2012, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :A number of complications may be associated with the use of ECMO including mechanical complications such as oxygenator failure, difficult cannula insertion, tubing problems (eg, kinks and extrinsic compression), and circuit thrombosis and patient-related complications, especially bleeding at the site of cannula insertion or surgical intervention, gastrointestinal hemorrhage, sepsis, and neurologic events. Compared with VV ECMO, venoarterial ECMO reduces pulmonary blood flow and is associated with a higher incidence of neurologic events (eg, cerebral infarction, microemboli, or hemorrhage) and cognitive impairment as well as a higher rate of arterial hypertension and major local complications such as arterial dissection, pseudoaneurysm formation, or limb ischemia.7-9 The percutaneous placement of VV ECMO cannulae facilitates their insertion, repositioning, and removal and reduces bleeding and the time required for their installation.10
Rupture of the common carotid artery after extracorporeal membrane oxygenation
2002, Annals of Thoracic SurgeryCitation Excerpt :Mycotic arterial rupture of the carotid artery following cannulation and reconstruction for ECMO and has never been described. A case of carotid artery pseudoaneurysm as a complication of ECMO for meningococcemia has been reported [1]. This 34-month-old child presented with a pulsatile mass in the right neck at the site of the previous ECMO cannulation, secondary to disintegration of the carotid artery reconstruction.