Strategies for appropriate positioning and repositioning the Avalon ECMO cannula in a 17-year-old with left hepatic vein malposition (Muhammad H, L'Huillier JC, Benson Ham P, Vali K)

34, 5, 26

For dual-lumen cannula repositioning out of a hepatic vein, re-establish a wire in the infrahepatic IVC before re-advancing.

None

DOI 10.1177/02676591211063829; PMID 34927476

Retraction of the cannula, reinsertion of wire and introducer together, manipulation under serial chest radiographs and transthoracic echocardiography.

Single case, abstract only read, adolescent.

Successful repositioning from the left hepatic vein. Authors identify confirming wire position in the infrahepatic IVC as ensuring safe position and avoiding hepatic vein cannulation.

Single case: 17-year-old on venovenous ECMO with a 27 Fr bicaval dual-lumen cannula in the left hepatic vein. Perfusion 2023;38(3):645-650 (online December 2021).