TY - JOUR AU - Burrell, Aidan J. C. AU - Ihle, Joshua AU - Pellegrino, Vincent A. AU - Sheldrake, Jayne AU - Nixon, Paul T. PY - 2018 TI - Cannulation technique: femoro-femoral JF - Journal of Thoracic Disease; Vol 10, Supplement 5 (March 30, 2018): Journal of Thoracic Disease (Contemporary Issues in Veno-Venous Extracorporeal Membrane Oxygenation) Y2 - 2018 KW - N2 - The cannulation technique used during veno-venous extracorporeal membrane oxygenation (VV ECMO) insertion can have a major impact on a patients’ overall outcome. We have developed a technique that aims to combine speed and effectiveness, with minimal risk. The steps include: (I) percutaneous cannulation using the Seldinger technique; (II) ultrasound guided access and positioning of cannulas; (III) femoro-femoral circuit configuration with a later option of high flow; (IV) a no skin cut serial dilation technique; (V) non-suturing securing of cannulas and (VI) a non-surgical manual pressure technique of explantation. The following is a discussion around these techniques and their various advantages and disadvantages. UR - https://jtd.amegroups.org/article/view/20156