HEPARIN IN THE LIMB REPERFUSION LINE IN ADULTS UNDERGOING ECLS

Volume 7, Issue 1, February 2023     |     PP. 7-9      |     PDF (317 K)    |     Pub. Date: February 25, 2023
DOI: 10.54647/isss120245    94 Downloads     18680 Views  

Author(s)

Javier Súarez Cuenca, Senior Certified Cardiovascular Perfusionist at Álvaro Cunqueiro Hospital. University of Vigo Hospital Complex.
M. A. Piñón Esteban, Cardiac Surgeon. Senior Consultant. at Álvaro Cunqueiro Hospital. University of Vigo Hospital Complex.

Abstract
Thromboembolic events in the reperfusion line and in the inferior limb are well known on patients undergoing veno-arterial ECLS. In our group, we also could observe these incidents. We described a method which consist in connect the heparin perfusion directly in the reperfusion limb line using the three way stopcock of the introducer used for the limb reperfusion. We routinely administer, the habitual heparin dose needed for the ECLS maintenance in the reperfusion limb line instead through a conventional venous access. Since we use this method we had observed a significant decrease in complications like clots in the reperfusion limb line and ischemic signs on patients limbs. We had not needed extra heparin doses to reach anticoagulation levels. No other complications had been observed.

Keywords
ECLS,heparin, reperfusion limb line

Cite this paper
Javier Súarez Cuenca, M. A. Piñón Esteban, HEPARIN IN THE LIMB REPERFUSION LINE IN ADULTS UNDERGOING ECLS , SCIREA Journal of Information Science and Systems Science. Volume 7, Issue 1, February 2023 | PP. 7-9. 10.54647/isss120245

References

[ 1 ] Use of distal perfusion in peripheral extracorporeal membrane oxygenation. George Makdisi, Tony Makdisi, and I-Wen Wang. Ann Transl Med. 2017 Mar; 5(5): 103.
[ 2 ] A comparison of low and standard anti-coagulation regimens in extracorporeal membrane oxygenation. Raman J, Alimohamed M, Dobrilovic N, Lateef O, Aziz S. J Heart Lung Transplant. 2019 Apr;38(4):433-439.
[ 3 ] Anticoagulation practices and the prevalence of major bleeding, thromboembolic events, and mortality in venoarterial extracorporeal membrane oxygenation: A systematic review and meta-analysis. Sy E, Sklar MC, Lequier L, Fan E, Kanji HD. J Crit Care. 2017 Jun;39:87-96.