Lower limb amputation following venous cannulation for VA-ECMO: a case report

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dc.contributor.authorHabr, Natasha T.
dc.contributor.authorHoballah, Jamal Jawad
dc.contributor.authorBorgi, Jamil F.
dc.contributor.authorHamadi, Caroline
dc.contributor.authorSfeir, Pierre M.
dc.contributor.authorHaddad, Fady F.
dc.contributor.departmentSurgery
dc.contributor.departmentDivision of Plastic Surgery
dc.contributor.departmentDivision of Vascular Surgery
dc.contributor.departmentDivision of Cardiothoracic Surgery
dc.contributor.facultyFaculty of Medicine (FM)
dc.contributor.institutionAmerican University of Beirut
dc.date.accessioned2025-01-24T12:14:31Z
dc.date.available2025-01-24T12:14:31Z
dc.date.issued2023
dc.description.abstractLower limb amputation following arterial cannulation for VA-ECMO has been described in the literature. Limb ischemia however following venous cannulation is very rare and not quite understood. We present a case of limb ischemia following venous cannulation. A combination of venous congestion, compartment syndrome and subsequent arterial insufficiency is the proposed pathophysiology. Shock and use of vasopressors are compounding factors. Limb ischemia can be transient and reversible if diagnosed immediately and treated by early removal of the cannula. Our patient was unstable and ECMO dependent, and removal of the cannula was not an option. This resulted in limb loss and eventual above knee amputation. Use of the smallest appropriate venous cannula and early fasciotomy, in addition to hemodynamic optimization are measures that could help in preventing major amputation. © The Author(s) 2021.
dc.identifier.doihttps://doi.org/10.1177/02676591211050608
dc.identifier.eid2-s2.0-85116773829
dc.identifier.pmid34625010
dc.identifier.urihttp://hdl.handle.net/10938/33198
dc.language.isoen
dc.publisherSAGE Publications Ltd
dc.relation.ispartofPerfusion (United Kingdom)
dc.sourceScopus
dc.subjectAmputation
dc.subjectCompartment syndrome
dc.subjectEcmo
dc.subjectIschemia
dc.subjectVenous gangrene
dc.subjectAmputation, surgical
dc.subjectCatheterization, peripheral
dc.subjectExtracorporeal membrane oxygenation
dc.subjectFemoral artery
dc.subjectHumans
dc.subjectLower extremity
dc.subjectRetrospective studies
dc.subjectRisk factors
dc.subjectDigoxin
dc.subjectEpinephrine
dc.subjectHeparin
dc.subjectHypertensive factor
dc.subjectLevothyroxine
dc.subjectNoradrenalin
dc.subjectVitamin k group
dc.subjectAdult
dc.subjectAnticoagulation
dc.subjectArticle
dc.subjectAtrial fibrillation
dc.subjectBody mass
dc.subjectCannulation
dc.subjectCardiogenic shock
dc.subjectCardiomyopathy
dc.subjectCase report
dc.subjectClinical article
dc.subjectCreatine kinase blood level
dc.subjectFasciotomy
dc.subjectHeart failure
dc.subjectHemodialysis
dc.subjectHuman
dc.subjectInterstitial pneumonia
dc.subjectKnee amputation
dc.subjectLeg amputation
dc.subjectLimb ischemia
dc.subjectMale
dc.subjectMiddle aged
dc.subjectMultiple organ failure
dc.subjectSepsis
dc.subjectVeno-arterial ecmo
dc.subjectVenous congestion
dc.subjectAdverse event
dc.subjectCatheterization
dc.subjectExtracorporeal oxygenation
dc.subjectLower limb
dc.subjectProcedures
dc.subjectRetrospective study
dc.subjectRisk factor
dc.titleLower limb amputation following venous cannulation for VA-ECMO: a case report
dc.typeArticle

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