CHAPTER 2 Extracorporeal Membrane Oxygenation Cannulation
Step 1: Surgical Anatomy
Step 2: Preoperative Considerations—Patient Management before Extracorporeal Life Support
Type of Support
Cannula Considerations
Selection of Technique
Step 3: Operative Steps—Cannula Insertion for Neonatal ECLS
VV/VA Cannulation: Open Technique
Preoperative
Operation
Position of Patient
Exposure of the Carotid Sheath
Dissection of the Vessels
Arteriotomy/Venotomy
Cannula Placement (Fig. 2-1)
VV Cannulation: Semi-open Technique
Incision and Vein Exposure
Guidewire Placement (Fig. 2-2)
Cannula Placement (Fig. 2-3)
Wound Closure and Cannula Fixation
Cannula Insertion for Pediatric ECLS
Venovenous Bypass
Cannula Insertion for Adolescent ECLS
Venovenous Bypass
Venoarterial Bypass






Transthoracic Cannulation
Step 4: Postoperative Care
Step 5: Pearls and Pitfalls
Difficulty Threading the Venous Cannula
Vein Division
Proximal Vein Lost in Mediastinum
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