NYMC Faculty Publications

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

Author Type(s)

Faculty

DOI

10.1016/j.xjtc.2020.10.035

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.

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