Abstract
The Avalon Elite dual lumen cannula (Avalon Laboratories, Rancho Dominguez, CA) was
developed as a means of single-site cannulation for veno-venous extracorporeal membrane
oxygenation in patients with severe refractory respiratory failure. This cannulation
strategy has several advantages over conventional strategies, however, is not without
complication. We describe a case of right internal jugular vein “on a stick” (avulsion)
after cannulation with the Avalon Elite cannula, and corroborate the critical importance
of imaging guidance when using this system.
Résumé
Le cathéter à double lumière Avalon Elite (Avalon Laboratories, Rancho Dominguez,
CA) a été créé à titre de dispositif de canulation à emplacement unique en vue de
l’oxygénation par membrane extracorporelle veinoveineuse des patients en insuffisance
respiratoire grave réfractaires au traitement. Ce dispositif présente plusieurs avantages
par rapport aux moyens traditionnels, mais n’est pas sans son lot de complications
possibles. Nous décrivons ici un cas d’avulsion de la veine jugulaire interne droite
suivant l’insertion du cathéter Avalon Elite qui illustre bien la nécessité de recourir
au guidage par imagerie médicale lors de l’installation d’un tel dispositif.
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References
- Initial experience with single cannulation for venovenous extracorporeal oxygenation in adults.Ann Thorac Surg. 2010; 90: 991-995
- Insertion of bicaval dual lumen extracorporeal membrane oxygenation catheter with image guidance.ASAIO J. 2011; 57: 203-205
- Right ventricular rupture and tamponade caused my malposition of the Avalon cannula for venovenous extracorporeal membrane oxygenation.J Cardiothorac Surg. 2012; 7: 36
- Recirculation in double lumen catheter veno-venous extracorporeal membrane oxygenation measured by an ultrasound dilution technique.ASAIO J. 2001; 47: 372-376
- Wang-Zwische double lumen cannula-toward a percutaneous and ambulatory paracorporeal artificial lung.ASAIO J. 2008; 54: 606-611
Article info
Publication history
Published online: February 13, 2016
Accepted:
February 10,
2016
Received:
December 11,
2015
Footnotes
See page 1576.e6 for disclosure information.
Identification
Copyright
© 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
