Faculty Collaboration Database

A novel escalation from veno-venous bypass to veno-venous ECMO during orthotopic liver transplantation. A case report. Perfusion 2021 Nov;36(8):861-863

Date

11/18/2020

Pubmed ID

33200657

DOI

10.1177/0267659120973592

Scopus ID

2-s2.0-85096198618 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

We describe the challenging perioperative course of a 55-year-old patient with hepatic failure requiring liver transplantation (LT). Different modalities of the extracorporeal device were successfully used, ranging from veno-veno bypass to partial and full veno-veno extracorporeal membrane oxygenation (ECMO) in order to optimize preload, reduce bleeding from the collateral circulation, optimize acid base balance and/or improve oxygenation. The case highlights the potential use of the device as a rescue method in challenging cases. Furthermore this is the first documented case that extracorporeal CO₂ removal (ECCO₂R) is used to optimize the biochemistry profile intraoperatively during a LT. The patient was weaned off the device at the end of the case and has been discharged home.

Author List

Voulgarelis S, Hong JC, Zimmerman MA, Kim J, Scott JP

Authors

Joohyun Kim MD, PhD Associate Professor in the Surgery department at Medical College of Wisconsin
John P. Scott MD Professor in the Anesthesiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Extracorporeal Membrane Oxygenation
Humans
Liver Transplantation
Middle Aged