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Marc R. Moon
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Ralph Damiano, Jr
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J Thorac Cardiovasc Surg 2003;126:2097-2098
© 2003 The American Association for Thoracic Surgery

Brief communication

Axillary artery cannulation for extracorporeal membrane oxygenator support in adults: An approach to minimize complications

Nader Moazami, MD*,a, Marc R. Moon, MDa, Jennifer S. Lawton, MDa, Marci Bailey, RNa, Ralph Damiano, Jr, MDa

a Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA

Received for publication April 28, 2003; accepted for publication June 4, 2003.

* Address for reprints: Nader Moazami, MD, Suite 3108 Queeny Tower, 1 Barnes-Jewish Hospital Plaza, St Louis, MO 63110, USA.
moazamin@msnotes.wustl.edu

The first 20% of the full text of this article appears below.

Extracorporeal membrane oxygenation (ECMO) has been used for cardiac and pulmonary support in the adult population and as a bridge to transplantation.1,2 One of the unique advantages of ECMO is that support can be established through peripheral access with the chest closed.

The most common route for peripheral cannulation involves the common femoral artery and vein. Direct cannulation of the femoral artery risks injury to the artery, compromises blood flow to the leg, and is the most common cause of limb complications. In addition, blood flow to the heart and brain is mostly retrograde. This report summarizes our approach for using the axillary artery.

Technique

Venous cannulation is achieved through the right common femoral vein. The axillary artery is exposed through a right subclavicular incision and mobilized circumferentially. After administering 5000 units of heparin, a 1-cm arteriotomy is created, and . . . [Full Text of this Article]






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