Figure. Veno-arterial ECMO and CRRT in ICU, Pamela Youde Nethersole Eastern Hospital, Hong Kong
The above (see figure) occurs during peripheral veno-arterial ECMO soon after right femoral artery and right femoral vein cannulation. Which of the following is incorrect for the above and peripheral VA-ECMO in general?
A. For peripheral VA-ECMO, cannula can be inserted into the femoral, axillary or carotid artery.
B. For the condition in the figure, the only solution is to change to another site of arterial cannulation.
C. If circulation to the right lower limb can be resumed, compartment syndrome is a possiblity after reperfusion.
D. A distal leg perfusion cannula can be inserted. Options are femoral artery antegrade cannulation or distal posterior tibial artery retrograde cannulation
E. Distal leg perfusion cannula insertion is not always needed after femoral artery cannulation.