An Effective Method for Percutaneous Removal of Venoarterial Extracorporeal Membrane Oxygenation by a Combination of Balloon Dilatation in Endovascular Therapy and the Perclose Proglide™ Closure Device

Ann Vasc Surg. 2021 May:73:532-537. doi: 10.1016/j.avsg.2020.12.028. Epub 2021 Jan 27.

Abstract

Background: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) can be undertaken surgically, but there are various problems with this method.

Methods and case report: We removed the arterial cannula of VA-ECMO percutaneously by combining intravascular balloon dilatation and the Perclose ProGlide™ (PP) closure device in a short amount of time and the extent of bleeding was extremely small. Simultaneously, the venous cannula was removed by suturing and manual compression. We report a series of cases of percutaneous removal of VA-ECMO using intravascular balloon dilatation and PP.

Conclusions: By using this method, VA-ECMO removal was possible in a very short amount of time with minimal invasiveness.

Keywords: Closure device; Endovascular therapy; Perclose ProGlide™; Venoarterial extracorporeal membrane oxygenation.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Balloon Occlusion*
  • Catheters, Indwelling*
  • Device Removal / adverse effects
  • Device Removal / instrumentation*
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation*
  • Extracorporeal Membrane Oxygenation / instrumentation*
  • Female
  • Hemorrhage / etiology
  • Hemorrhage / prevention & control*
  • Humans
  • Male
  • Middle Aged
  • Time Factors
  • Treatment Outcome
  • Vascular Access Devices*
  • Vascular Closure Devices*