Lower limb overflow syndrome in extracorporeal membrane oxygenation

Interact Cardiovasc Thorac Surg. 2014 Sep;19(3):532-4. doi: 10.1093/icvts/ivu165. Epub 2014 Jun 4.

Abstract

Peripheral extracorporeal membrane oxygenation (ECMO) is associated with a not negligible rate of vascular morbidity. Most vascular complications are related to limb ischaemia mainly due to insufficient limb perfusion or embolic events. To the best of our knowledge, this is the first report of a severe epidermolysis and overflow syndrome as a result of an overperfusion phenomenon through an unknown femoral arterio-venous fistula in a patient requiring ECMO support.

Keywords: Arterio-venous fistula; Extracorporeal membrane oxygenation, Peripheral vascular disease; Surgery, Complications.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Arteriovenous Fistula / complications*
  • Arteriovenous Fistula / physiopathology
  • Arteriovenous Fistula / surgery
  • Blister / diagnosis
  • Blister / etiology*
  • Blister / physiopathology
  • Blister / surgery
  • Edema / diagnosis
  • Edema / etiology*
  • Edema / physiopathology
  • Edema / surgery
  • Extracorporeal Membrane Oxygenation / adverse effects*
  • Femoral Artery / abnormalities*
  • Femoral Artery / physiopathology
  • Femoral Artery / surgery
  • Femoral Vein / abnormalities*
  • Femoral Vein / physiopathology
  • Femoral Vein / surgery
  • Hemodynamics
  • Humans
  • Lower Extremity / blood supply*
  • Male
  • Multidetector Computed Tomography
  • Regional Blood Flow
  • Syndrome