Lung Transplantation Using a Hybrid Extracorporeal Membrane Oxygenation Circuit
Mathew Thomas, Archer Kilbourne Martin, Wesley L. Allen, Ian A. Makey, J. Ross Renew, Eduardo Rodrigues, Monica Mordecai, Thomas E. Brown, Jeremy J. Foeks, James L. Johnson, Kevin Landolfo, Si M. Pham
Abstract
Extracorporeal circulation (ECC) support using intraoperative extracorporeal membrane oxygenation (ECMO) during lung transplantation (LTx) is now a routine practice for many high volume centers. Circuits that are dedicated to ECMO alone can be expensive and do not allow full cardiopulmonary bypass (CPB) to be performed. We describe our technique of instituting venoarterial ECMO during LTx using a less-expensive hybrid circuit that facilitates easy and immediate conversion to full CPB if needed, without interruption of ECC.
Topics & Concepts
Extracorporeal membrane oxygenationCardiopulmonary bypassExtracorporeal circulationMedicineLung transplantationLungOxygenationTransplantationExtracorporealArtificial lungAnesthesiaCardiologyIntensive care medicineSurgeryInternal medicineTransplantation: Methods and OutcomesMechanical Circulatory Support DevicesOrgan Transplantation Techniques and Outcomes