{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T13:29:09Z","timestamp":1793971749640,"version":"4.8.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T00:00:00Z","timestamp":1767484800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The benefits of veno-venous extracorporeal membrane oxygenation (VV-ECMO) for patients with acute respiratory distress syndrome (ARDS) are well established. However, cannulation-related vascular complications, while rare, can be life-threatening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>An 82-year-old man with ARDS caused by pleural empyema and lung abscess required VV-ECMO for worsening acidemia and hypoxemia. During internal jugular vein cannulation, a purulent effusion abruptly emerged from the outflow catheter. CT revealed catheter perforation of the brachiocephalic vein with fistulization into the pleural empyema. ECMO support was re-established using an alternative configuration. Following surgical repair, the patient gradually recovered to ambulatory discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Catheter penetration into a pleural empyema in the absence of congenital anomalies is extremely rare. Here, inflammation-related vascular fragility likely contributed. This highlights the importance of considering intrathoracic pathology when determining ECMO configuration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pleural empyema may predispose patients to vascular complications associated with VV-ECMO. A tailored ECMO configuration is essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591251415345","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T04:40:25Z","timestamp":1767588025000},"page":"1569-1572","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["VV-ECMO cannulation-related right brachiocephalic vein injury associated with pleural empyema"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1265-5675","authenticated-orcid":false,"given":"Akira","family":"Kono","sequence":"first","affiliation":[{"name":"Shizuoka General Hospital"},{"name":"Chutoen General Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Hawke","sequence":"additional","affiliation":[{"name":"University of Shizuoka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Haruta","sequence":"additional","affiliation":[{"name":"Shizuoka General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiro","family":"Miyake","sequence":"additional","affiliation":[{"name":"Shizuoka General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,4]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001172"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-021-03634-1"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-021-06451-w"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-017-0275-4"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-016-1386-1"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0b013e3182904a52"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004688"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e3181834589"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.828772"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001630"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000002466"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591251415345","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591251415345","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591251415345","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T12:55:45Z","timestamp":1793969745000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591251415345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,4]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/02676591251415345"],"URL":"https:\/\/doi.org\/10.1177\/02676591251415345","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,4]]}}}