The University of Minnesota Cath Lab Cannulation Method
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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
Loved that minutious microdissection. Could be a precedent for a new way of peer exchange on such specific topics, really helpful!