Spinal Cord Infarction During Femoral Venoarterial Extracorporeal Membrane Oxygenation.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
04 2021
Historique:
received: 30 04 2020
revised: 14 05 2020
accepted: 13 06 2020
pubmed: 6 9 2020
medline: 7 4 2021
entrez: 5 9 2020
Statut: ppublish

Résumé

We describe 4 cases of spinal cord ischemia resulting in paraplegia after peripheral venoarterial extracorporeal membrane oxygenation for cardiogenic shock. This is an uncommon, but possibly underreported, complication with significant irreversible long-term morbidity. While causes are likely multifactorial, it is possible that thrombosis may occur at the level of the mixing cloud due to turbulent flow. Additional studies will be needed to elucidate the true incidence of this complication and investigate whether flow dynamics may potentiate clot formation.

Identifiants

pubmed: 32890488
pii: S0003-4975(20)31437-5
doi: 10.1016/j.athoracsur.2020.06.086
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

e279-e281

Informations de copyright

Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Michael Salna (M)

Division of Cardiac, Thoracic, and Vascular Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, New York.

James Beck (J)

Clinical Perfusion and Anesthesia Support Services, New York-Presbyterian Hospital, Columbia University Irving Medical Center, New York, New York.

Josh Willey (J)

Division of Stroke and Cerebrovascular Diseases, Department of Neurology, Columbia University Irving Medical Center, New York, New York.

Koji Takeda (K)

Division of Cardiac, Thoracic, and Vascular Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, New York. Electronic address: kt2485@cumc.columbia.edu.

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Classifications MeSH