Axillary Artery Cannulation for Veno-Arterial Extracorporeal Membrane Oxygenation Support in Cardiogenic Shock

Authors

Suguru Ohira, New York Medical College
Ramin Malekan, New York Medical CollegeFollow
Joshua B. Goldberg, New York Medical College
Steven L. Lansman, New York Medical CollegeFollow
David Spielvogel, New York Medical CollegeFollow
Masashi Kai, New York Medical CollegeFollow
Collaborators

Author Type(s)

Faculty

Journal Title

JTCVS Techniques

First Page

62

Last Page

71

Document Type

Article

Publication Date

2-1-2021

Department

Surgery

Abstract

OBJECTIVE: To review the outcomes of axillary artery (AX) and femoral artery (FA) cannulation for veno-arterial extracorporeal membraneous oxygenation (VA-ECMO).

METHODS: From 2009 to 2019, 371 patients who were supported with VA-ECMO for cardiogenic shock were compared based on the arterial cannulation site: AX (n = 218) versus FA (n = 153).

RESULTS: Patients in the AX group were older (61 years vs 58 years,

CONCLUSIONS: AX cannulation for VA-ECMO is a safe and effective alternative to FA cannulation. It can be considered especially for patients with limited groin access, peripheral vascular disease, or for primary graft failure after heart transplant.

Recommended Citation

Ohira, S., Malekan, R., Goldberg, J. B., Lansman, S. L., Spielvogel, D., Kai, M., & Collaborators. (2021). Axillary Artery Cannulation for Veno-Arterial Extracorporeal Membrane Oxygenation Support in Cardiogenic Shock. JTCVS Techniques, 5, 62-71. https://doi.org/10.1016/j.xjtc.2020.10.035