{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:32:48Z","timestamp":1787761968055,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>This article describes a case study where a patient with ProtekDuo + oxygenator and Impella CP (PROpella) in biventricular failure and cardiogenic shock was reconfigured to venopulmonary-arterial (VP-A) extracorporeal membrane oxygenation (ECMO), secondary to leg ischemia. The ProtekDuo was subsequently used as double-lumen drainage cannula, returning blood into a newly percutaneously placed femoral arterial cannula, mimicking venoarterial (V-A) ECMO in VP-A configuration. The following day, an Impella 5.5 could be placed and the ProtekDuo was reconfigured back to its default venopulmonary (V-P) ECMO configuration, now again as PROpella with minimally invasive biventricular groin-free full mechanical circulatory support. However, while in VP-A, good drainage blood flows of up to 4.5 LPM could be achieved similar to the ProtekDuo forward flow. None of the lumens collapsed secondary to negative pressure in the system. Drainage through the ProtekDuo for VP-A ECMO is feasible and without complications for a 24-hour period. This new method extends the ProtekDuo\u2019s spectrum of use.<\/jats:p>","DOI":"10.4103\/aca.aca_150_22","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T17:46:32Z","timestamp":1689011192000},"page":"339-342","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["The ProtekDuo in Percutaneous Peripheral Venopulmonary-Arterial ECMO and PROpella Configuration for Cardiogenic Shock with Biventricular Failure"],"prefix":"10.4103","volume":"26","author":[{"given":"Marc O.","family":"Maybauer","sequence":"first","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK"},{"name":"Department of Anesthesiology, Division of Critical Care Medicine, University of Florida, Gainesville, FL, USA"},{"name":"Department of Anaesthesiology and Intensive Care Medicine, Philipps University, Marburg, Germany"},{"name":"Critical Care Research Group, The Prince Charles Hospital, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justyna","family":"Swol","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Paracelsus Medical University, Nuremberg, Germany"}],"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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clayne","family":"Benson","sequence":"additional","affiliation":[{"name":"Nazih Zuhdi Transplant Institute, Advanced Cardiac and Critical Care, 24\/7 Shock Service, Intergris Baptist Medical Center, Oklahoma City, OK"}],"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"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,7]]},"reference":[{"key":"R1-20240901","first-page":"2676591221090607","article-title":"The novel ProtekDuo ventricular assist device: Configurations, technical aspects, and present evidence","author":"Maybauer","year":"2022","journal-title":"Perfusion"},{"key":"R2-20240901","doi-asserted-by":"crossref","first-page":"217","DOI":"10.4103\/aca.aca_49_21","article-title":"The ProtekDuo as double lumen return cannula in V-VP ECMO configuration: A first-in-man method description","volume":"25","author":"Maybauer","year":"2022","journal-title":"Ann Card Anaesth"},{"key":"R3-20240901","doi-asserted-by":"crossref","DOI":"10.1177\/03913988221121355","article-title":"The ProtekDuo for percutaneous V-P and V-VP ECMO in patients with COVID-19 ARDS","author":"El Banayosy","year":"2022","journal-title":"Int J Artif Organs"},{"key":"R4-20240901","first-page":"623","article-title":"The ProtekDuo as double lumen arterial return cannula in extracorporeal membrane oxygenation","volume":"44","author":"Maybauer","year":"2021","journal-title":"Int J Artif Organs"},{"key":"R5-20240901","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/jocs.14283","article-title":"ECPELLA 2.0-Minimally invasive biventricular groin-free full mechanical circulatory support with Impella 5.0\/5.5 pump and ProtekDuo cannula as a bridge-to-bridge concept: A first-in-man method description","volume":"35","author":"Ruhparwar","year":"2020","journal-title":"J Card Surg"},{"key":"R6-20240901","doi-asserted-by":"crossref","first-page":"2250","DOI":"10.1053\/j.jvca.2018.12.025","article-title":"Use of ProtekDuo as veno-arterial and veno-venous extracorporeal membrane oxygenation during bilateral lung transplantation","volume":"33","author":"Budd","year":"2019","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R7-20240901","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1002\/ccd.30212","article-title":"Novel method for left ventricular unloading utilizing percutaneous pulmonary artery drainage in cardiorespiratory failure due to COVID-19 infection","volume":"100","author":"Kumar","year":"2022","journal-title":"Catheter Cardiovasc Interv"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_150_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:12:21Z","timestamp":1787760741000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_150_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_150_22","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2022-08-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}