Subclavian Insertion of the Bicaval Dual Lumen Cannula for Venovenous Extracorporeal Membrane Oxygenation Alexis E. Shafii, MD, Kenneth R. McCurry, MD

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Subclavian Insertion of the Bicaval Dual Lumen Cannula for Venovenous Extracorporeal Membrane Oxygenation Alexis E. Shafii, MD, Kenneth R. McCurry, MD The Annals of Thoracic Surgery Volume 94, Issue 2, Pages 663-665 (August 2012) DOI: 10.1016/j.athoracsur.2012.02.024 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest radiograph demonstrating cannulation of the left subclavian vein with the dual-lumen bicaval Avalon Elite cannula for use in venovenous extracorporeal membrane oxygenation. The Annals of Thoracic Surgery 2012 94, 663-665DOI: (10.1016/j.athoracsur.2012.02.024) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Fluoroscopic imaging during serial dilation of the left subclavian and innominate veins performed over a stiff guidewire. The Annals of Thoracic Surgery 2012 94, 663-665DOI: (10.1016/j.athoracsur.2012.02.024) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Alignment of the Avalon reinfusion lumen (arrow) with the tricuspid valve inlet. Fluoroscopic guidance is aided by the silhouette of the pulmonary artery catheter (PAC), and in this case a tricuspid valve annuloplasty ring (TVR) is also visible. The Annals of Thoracic Surgery 2012 94, 663-665DOI: (10.1016/j.athoracsur.2012.02.024) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions