Experience with the Crescent® cannula for adult respiratory VV ECMO : a case series

INTRODUCTION: The Crescent® is a recently introduced dual lumen cannula by which veno-venous extracorporeal membrane oxygenation (VV ECMO) is delivered. It has a number of features that enhance its ease of placement, pressure-flow dynamics and may reduce catheter-related complication rates.

METHODS: We present the first case series of its kind analysing this device by means of a retrospective observational study of prospectively collected data from the first year of its use in a high volume severe acute respiratory failure centre (Glenfield, UK). We compare complication rates of the Crescent®, with data from the international ELSO database and our own historic centre data and discuss subjective clinician experience of introducing this device.

RESULTS: Over the first 12 months of its use (23/09/2019-23/09/2020), 54 patients were cannulated using a Crescent® catheter. There were no serious/life-threatening adverse events and a low number of minor cannula-related complications. Subjectively users found it has a number of advantages over other devices and configurations, not captured within current data collection frameworks.

CONCLUSION: The Crescent® is a safe and effective device by which to deliver VV ECMO support to patients with severe acute respiratory failure.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Perfusion - 37(2022), 8 vom: 17. Nov., Seite 819-824

Sprache:

Englisch

Beteiligte Personen:

Fleet, Daniel [VerfasserIn]
Morris, Idunn [VerfasserIn]
Faulkner, Gail [VerfasserIn]
Harvey, Chris [VerfasserIn]

Links:

Volltext

Themen:

Crescent
Dual-lumen cannula
Extracorporeal membrane oxygenation
Journal Article
Observational Study
Severe acute respiratory failure
VV ECMO

Anmerkungen:

Date Completed 31.10.2022

Date Revised 01.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/02676591211031462

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM328002992