Perfusion through the dorsalis pedis artery for acute limb ischemia secondary to an occlusive arterial cannula during percutaneous cardiopulmonary support
- 20 October 2005
- journal article
- case report
- Published by Springer Science and Business Media LLC in Journal of Artificial Organs
- Vol. 8 (3), 206-209
- https://doi.org/10.1007/s10047-005-0300-5
Abstract
Percutaneous cardiopulmonary support (PCPS) is a powerful resuscitation tool for patients in cardiogenic shock. The femoral artery is generally used for arterial access; however, vascular complications, particularly in atherosclerotic arteries, can occur. Although such complications occur infrequently, they can be fatal. We describe the case of a 75-year-old woman who required extended PCPS for cardiogenic shock secondary to coronary spasm after on-pump beating coronary artery bypass grafting. Limb ischemia occurred because of an occlusive cannula, and distal perfusion with a 20G elastic intravenous catheter inserted into the dorsalis pedis artery resolved the ischemia. The catheter was connected to the side port of an oxygenator and provided distal limb perfusion during PCPS. This technique appears to be useful in treating limb ischemia and may have application in patients with arterial occlusive disease who are dependent on mechanical support.Keywords
This publication has 12 references indexed in Scilit:
- Strategy of Circulatory Support with Percutaneous Cardiopulmonary SupportArtificial Organs, 2000
- Resuscitation and Circulatory Support Using Extracorporeal Membrane Oxygenation for Fulminant Pulmonary EmbolismArtificial Organs, 2000
- Efficacy of dorsal pedal artery bypass in limb salvage for ischemic heel ulcersJournal of Vascular Surgery, 1999
- Usefulness of extracorporeal membrane oxygenation for treatment of fulminant myocarditis and circulatory collapseThe American Journal of Cardiology, 1998
- Complications of extracorporeal life support systems using heparin-bound surfaces: The risk of intracardiac clot formationThe Journal of Thoracic and Cardiovascular Surgery, 1995
- Prevention of distal limb ischemia during cardiopulmonary support via femoral cannulationThe Annals of Thoracic Surgery, 1995
- Heparin coated percutaneous cardiopulmonary support for the treatment of circulatory collapse after cardiac surgery.1994
- Heparin Coated Percutaneous Cardiopulmonary Support for the Treatment of Circulatory Collapse After Cardiac SurgeryASAIO Journal, 1994
- Frequency of long-term lower limb ischemia associated with intraaortic balloon pump useThe American Journal of Cardiology, 1992
- Safety of vein bypass grafting to the dorsal pedal artery in diabetic patients with foot infectionsJournal of Vascular Surgery, 1992