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