{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T23:56:08Z","timestamp":1792886168831,"version":"4.5.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:00:00Z","timestamp":1662681600000},"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":["Int J Artif Organs"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The ProtekDuo with oxygenator mimics veno-venous (V-V) extracorporeal membrane oxygenation (ECMO) in veno-pulmonary (V-P) configuration. We have recently developed a new configuration by utilizing a 25 Fr multistage femoral venous drainage cannula and by returning oxygenated blood through both lumina of the double lumen ProtekDuo cannula (V-VP configuration), thereby creating partial right ventricular bypass and oxygenated blood flow of up to seven LPM. We investigated our experience with V-P and V-VP ECMO in patients suffering from COVID-19 acute respiratory distress syndrome (ARDS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Single center, retrospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of nine patients, one was initiated on V-A, two on V-P, and six on V-V ECMO. All patients were reconfigured to V-P and five patients in addition had V-VP ECMO configuration. All patients had at least one and up to three circuit exchanges. Patients were on ECMO support between 20 and 122 (55\u2009\u00b1\u200929) days, were in ICU between 46 and 161 (78\u2009\u00b1\u200940) days with a total hospital length of stay between 35 and 171 (82\u2009\u00b1\u200942) days. Six of nine (67%) patients could successfully be weaned off ECMO, survived, and were discharged.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The ProtekDuo cannula in V-P configuration provides ECMO blood flow while reducing RV flow, wall-stress and dilatation, as well as oxygen consumption. The V-VP configuration is useful to provide high blood flows of up to seven LPM of oxygenated blood, and partial RV support without over-circulating the pulmonary vascular bed. Our results show that V-P and V-VP ECMO configurations are feasible, have good outcome and are without complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03913988221121355","type":"journal-article","created":{"date-parts":[[2022,9,10]],"date-time":"2022-09-10T00:40:55Z","timestamp":1662770455000},"page":"1006-1012","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["The ProtekDuo for percutaneous V-P and V-VP ECMO in patients with COVID-19 ARDS"],"prefix":"10.1177","volume":"45","author":[{"given":"Ahmed M","family":"El Banayosy","sequence":"first","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aly","family":"El Banayosy","sequence":"additional","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph M","family":"Brewer","sequence":"additional","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mircea R","family":"Mihu","sequence":"additional","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaclyn M","family":"Chidester","sequence":"additional","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura V","family":"Swant","sequence":"additional","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S","family":"Schoaps","sequence":"additional","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ammar","family":"Sharif","sequence":"additional","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK, 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