VENOARTERIAL ECMO AND FLOWTRIEVER IN THE TREATMENT OF PULMONARY EMBOLISM, TIPS AND TRICKS (+)

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ECMO AND FLOWTRIEVER INARI, TIPS AND TRICKS. 

How to use Flowtriever during ECMO? Cautions during ECMO and Flowtriever?

Flowtriever has been reported treatment for PE in cases on VA-ECMO with some favorable outcomes in this setting improving RV function and facilitating ECMO weaning. However, some advices must be taken into account.

This is a summary, detailed and expanded information in this video: 

 

 

 

 

 

 

 

AIR EMBOLISM can occur.

The advice to prevent this event is clamp/decrease ECMO flow (1lpm) during:

-- FlowTriever passage through IVC

-- Aspirations

-- Opening of dryseal valve

-- Passage of dilator-guidewire

THROMBUS ASPIRATION towards the ECMO device through the drainage cannula, especially in the case of the "lollipop effect." To prevent this problem, it is advisable to clamp ECMO while Flowtriever is being removed from the patient. 

 

Fig 1. ECMO clamp. 

 

Tags: ecmo, VA-ecmo, inari flowtriever, pulmonary embolism, thrombus aspiration, air embolism, clamp, tips, tricks, thrombectomy, embolectomy, complications, guide.