Crash Episode – MicroDissection of Yannopoulos’ ECMO Method

In ep. 36, Zack interviewed Demetris Yannopoulos on the amazing ECPR experience at University of Minnesota. In this crash episode, I reinterview Dr. Yannopoulos on the intricacies of how cannulates.

Some Highlights

  • Uses amplatz super-stiff with 1cm J-tip
  • arterial puncture first
  • dilates with 12 and 14 for artery and 16 and 18 for vein
  • places venous cannula first
  • 25 F venous cannula
  • places arterial 15 F in females and 17 F in males empirically (different than publication)
  • Dilates tracts with kelly
  • Starts flow at 2.5 50% fio2 and ramps up
  • His leg perfusion cath of choice is the 9F Arrow Mac. He uses the big sideport for blood flow and the smaller one to run the systemic heparin

 

 

 


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Comments

  1. Domagoj Damjanovic says

    Loved that minutious microdissection. Could be a precedent for a new way of peer exchange on such specific topics, really helpful!

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