{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T05:52:12Z","timestamp":1693806732637},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Zhejiang Medicine and Health Science and Technology Project","award":["2021KY1015"],"award-info":[{"award-number":["2021KY1015"]}]},{"name":"the Research Foundation of Hwa Mei Hospital, University of Chinese Academy of Sciences, China","award":["2020HMKY22"],"award-info":[{"award-number":["2020HMKY22"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>High bifurcation of the deep femoral artery (DFA) is rare in clinical practice, and patients with this variation are less likely to receive venoarterial extracorporeal membrane oxygenation (V-A ECMO) treatment. Therefore, the method by which V-A ECMO is introduced in patients with vascular variation is very important.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 52-year-old male patient had ST elevation myocardial infarction due to coronary heart disease. Angiography showed tripartite coronary artery lesions, and coronary artery stenting supported by V-A ECMO was needed. Vascular evaluation before ECMO catheterization revealed high bifurcation of the bilateral DFA located at the inguinal ligament. After discussion, the perfusion cannula was placed in the left superficial femoral artery (SFA) towards the heart, and the distal perfusion catheter (DPC) was placed in the left SFA towards the distal end. Nevertheless, after the patient's heart recovered, necrosis of the toe of the left lower limb still occurred.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Common femoral artery assessment must be performed before V-A ECMO for patients with high bifurcation of the DFA. Incision catheterization and DPC placement are recommended. After decannulation, arterial repair under direct visualisation is recommended, and rigorous distal vascular assessment and management are needed.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-022-01982-9","type":"journal-article","created":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T08:04:04Z","timestamp":1661933044000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Femoral artery variation was found during V-A ECMO catheterization"],"prefix":"10.1186","volume":"17","author":[{"given":"Liwen","family":"Du","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leilei","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongwei","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Xun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,31]]},"reference":[{"key":"1982_CR1","doi-asserted-by":"crossref","unstructured":"Tzouma G, Kopanakis NA, Tsakotos G, et al. Anatomic variations of the deep femoral artery and its branches: clinical implications on anterolateral thigh harvesting. Cureus 2020;12(4). Veno-arterial extracorpoporeal membrane oxygenation.","DOI":"10.7759\/cureus.7867"},{"issue":"9","key":"1982_CR2","doi-asserted-by":"publisher","first-page":"E875","DOI":"10.21037\/jtd.2016.09.25","volume":"8","author":"C Banfi","year":"2016","unstructured":"Banfi C, Pozzi M, Brunner ME, et al. Veno-arterial extracorporeal membrane oxygenation: an overview of different cannulation techniques. J Thorac Dis. 2016;8(9):E875.","journal-title":"J Thorac Dis"},{"key":"1982_CR3","unstructured":"Roy J, Loukas M, et al. Variations in the origin of the deep femoral artery: A meta-analysis. Clinical anatomy: official journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists, 2017."},{"key":"1982_CR4","unstructured":"Mehta H, Eisen HJ, Cleveland JC, et al. Indications and complications for VA-ECMO for cardiac failure. American College of Cardiology Jul 14, 2015"},{"issue":"1","key":"1982_CR5","first-page":"E018","volume":"21","author":"CC Yen","year":"2018","unstructured":"Yen CC, Kao CH, Tsai CS, et al. Identifying the risk factor and prevention of limb ischemia in extracorporeal membrane oxygenation with femoral artery cannulation. Heart Surgery Forum. 2018;21(1):E018.","journal-title":"Heart Surgery Forum"},{"key":"1982_CR6","doi-asserted-by":"crossref","unstructured":"Marasco SF, Tutungi E, Vallance SA, et al. A phase 1 study of a novel bidirectional perfusion cannula in patients undergoing femoral cannulation for cardiac surgery. Innovations 2018;13.","DOI":"10.1177\/155698451801300204"},{"key":"1982_CR7","doi-asserted-by":"crossref","unstructured":"Yang F, Hou D, Wang J, et al. Vascular complications in adult postcardiotomy cardiogenic shock patients receiving venoarterial extracorporeal membrane oxygenation. Ann Intensive Care 2018;8(1).","DOI":"10.1186\/s13613-018-0417-3"},{"issue":"2","key":"1982_CR8","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1097\/imi.0000000000000489","volume":"13","author":"SF Marasco","year":"2018","unstructured":"Marasco SF, Tutungi E, Vallance SA, et al. A phase 1 study of a novel bidirectional perfusion cannula in patients undergoing femoral cannulation for cardiac surgery. Innov Technol Techn Cardiothoracic Vasc Surg. 2018;13(2):97\u2013103.","journal-title":"Innov Technol Techn Cardiothoracic Vasc Surg"},{"issue":"12","key":"1982_CR9","doi-asserted-by":"publisher","first-page":"2153","DOI":"10.1007\/s00134-018-5442-z","volume":"44","author":"P Danial","year":"2018","unstructured":"Danial P, Hajage D, Nguyen LS, Mastroianni C, Demondion P, Schmidt M, et al. Percutaneous versus surgical femoro-femoral veno-arterial ECMO: a propensity score matched study. Intensive Care Med. 2018;44(12):2153\u201361. https:\/\/doi.org\/10.1007\/s00134-018-5442-z.","journal-title":"Intensive Care Med"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-022-01982-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-022-01982-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-022-01982-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T11:42:42Z","timestamp":1662118962000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-022-01982-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,31]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["1982"],"URL":"https:\/\/doi.org\/10.1186\/s13019-022-01982-9","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,31]]},"assertion":[{"value":"2 July 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 August 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. All procedures performed in studies involving human participants were in accordance with the Helsinki Declaration (as revised in 2013). This study was approved by the Hwa Mei Hospital, University of Chinese Academy of Sciences. Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent for publication was obtained from the patient and his family.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"220"}}