{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:13:50Z","timestamp":1777418030441,"version":"3.51.4"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Limited research is available on the pattern of double distal perfusion catheters in patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) with an intra-aortic balloon pump(IABP). Here, we compared the outcomes of a double distal perfusion catheter and conventional treatment in patients who received VA-ECMO with IABP and had severe lower limb ischemia on the IABP side.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> We reviewed the data of 15 adult patients with postcardiotomy cardiogenic shock who received VA-ECMO via femoral cannulation combined with an IABP in the contralateral artery that was complicated with severe acute limb ischemia (ALI) on the same side as the IABP between January 2004 and December 2016. Patients underwent symptomatic treatment (conventional group, <jats:italic>n<\/jats:italic> = 9) and double distal perfusion catheterization treatment (DDPC group, <jats:italic>n<\/jats:italic> = 6). ALI was monitored using near-infrared spectroscopy placed on both calves after double distal perfusion catheters. The outcomes were compared.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> All 6 patients who underwent double distal perfusion catheters were successfully decannulated without the development of osteofascial compartment syndrome, amputation, or bleeding and infection of the double distal perfusion catheters. The number of patients who weaned from extracorporeal membrane oxygenation successfully in the DDPC and conventional groups was 6 (100%) and 3 (33%, <jats:italic>p<\/jats:italic> = 0.028), respectively. The in-hospital mortality rates were 17% and 89% for the DDPC and conventional groups, respectively (<jats:italic>p<\/jats:italic> = 0.011).<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> DDPC can be considered a strategy for severe limb ischemia on the IABP side in patients who received femoro-femoral VA-ECMO with IABP.<\/jats:p>","DOI":"10.3389\/fmed.2021.692399","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T06:09:21Z","timestamp":1629871761000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Double Distal Perfusion Catheters for Severe Limb Ischemia on the IABP Side in Patients Who Received Femoro-Femoral VA-ECMO With IABP"],"prefix":"10.3389","volume":"8","author":[{"given":"Meng","family":"Xin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liangshan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaqiu","family":"Tian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dengbang","family":"Hou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiangang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Jia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaotong","family":"Hou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1016\/j.avsg.2018.08.073","article-title":"Factors associated with ipsilateral limb ischemia in patients undergoing femoral cannulation extracorporeal membrane oxygenation","volume":"54","author":"Yau","year":"2019","journal-title":"Ann Vasc Surg."},{"key":"B2","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1186\/s13613-018-0417-3","article-title":"Vascular complications in adult postcardiotomy cardiogenic shock patients receiving venoarterial extracorporeal membrane oxygenation","volume":"8","author":"Feng","year":"2018","journal-title":"Ann Inten Care."},{"key":"B3","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1159\/000365138","article-title":"Peripheral venoarterial extracorporeal membrane oxygenation in combination with intra-aortic balloon counterpulsation in patients with cardiovascular compromise","volume":"129","author":"Gass","year":"2014","journal-title":"Cardiology."},{"key":"B4","doi-asserted-by":"publisher","first-page":"961","DOI":"10.21037\/jtd.2017.03.73","article-title":"IABP plus ECMO\u2014Is one and one more than two?","volume":"9","author":"Nudcing","year":"2017","journal-title":"J Thorac Dis."},{"key":"B5","doi-asserted-by":"publisher","first-page":"23838","DOI":"10.1038\/srep23838","article-title":"Effects of additional intra-aortic balloon counter-pulsation therapy to cardiogenic shock patients supported by extra-corporeal membranous oxygenation","volume":"6","author":"Lin","year":"2016","journal-title":"Sci Rep."},{"key":"B6","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1186\/s13613-018-0445-z","article-title":"Fluoroscopy-guided simultaneous distal perfusion as a preventive strategy of limb ischemia in patients undergoing extracorporeal membrane oxygenation","volume":"8","author":"Jang","year":"2018","journal-title":"Ann Inten Care."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1074","DOI":"10.1016\/j.jvs.2016.10.059","article-title":"Arterial protocol including prophylactic distal perfusion catheter decreases limb ischemia complications in patients undergoing extracorporeal membrane oxygenation","volume":"65","author":"Lamb","year":"2017","journal-title":"J Vasc Surg."},{"key":"B8","doi-asserted-by":"publisher","first-page":"850","DOI":"10.1016\/j.jvs.2010.05.012","article-title":"Limb ischemia during femoral cannulation for cardiopulmonary support","volume":"52","author":"Foley","year":"2010","journal-title":"J Vasc Surg."},{"key":"B9","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.jvs.2006.12.037","article-title":"Inter-society consensus for the management of peripheral arterial disease (TASC II)","volume":"43","author":"Norgren","year":"2007","journal-title":"J Vasc Surg."},{"key":"B10","doi-asserted-by":"publisher","first-page":"1445","DOI":"10.1016\/j.jtcvs.2014.11.052","article-title":"The early dynamic behavior of lactate is linked to mortality in postcardiotomy patients with. 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