PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
April 7, 2026JACC Case Reports1 citationsOpen Access

Novel Use of a Distal Perfusion Catheter With a Removable Side Port in Patients on VA-ECMO

View Full Paper
RFRaef FadelAAAnas Al-SuraimiFSFares Sukhon

Key Points

  • This research aims to evaluate the effectiveness of a distal perfusion catheter without a side port in reducing limb ischemia risk during VA-ECMO treatment.
  • Case report involving 5 patients on VA-ECMO

Structured PICO

Does a distal perfusion catheter with a removable side port improve flow and prevent limb ischemia in patients on VA-ECMO?

P
Population
5 patients treated with venoarterial extracorporeal membrane oxygenation (VA-ECMO)
I
Intervention
Commercially available distal perfusion catheter (DPC) with a removable side port (utilized without the side port)
C
Comparator
Conventional distal perfusion catheter with a flow-limiting side port connection
O
Outcome
Catheter flow and incidence of limb ischemiasafety

The novel use of a distal perfusion catheter with a removable side port significantly increases flow and safely prevents limb ischemia in patients on VA-ECMO.

Abstract

Risk of limb ischemia in patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) is minimized with the use of distal perfusion catheters (DPCs). However, conventional sheaths utilize a flow-limiting side port connection, reducing efficacy. We report 5 cases wherein we utilized a commercially available DPC with a removable side port in patients treated with VA-ECMO. The use of a DPC without a side port increased flow by 220% when compared to the use of a DPC with a side port. No patients experienced limb ischemia while on VA-ECMO.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Fadel et al. (2026) studied this question.

synapsesocial.com/papers/69d49f1cb33cc4c35a2278e3https://doi.org/10.1016/j.jaccas.2026.107395
Ask AI
Helpful
Bookmark
Share
View Full Paper