TY - JOUR AU - Kronfli, Anthony AU - Pasrija, Chetan AU - Shah, Aakash AU - Ghoreishi, Mehrdad AU - Garcia, Jose P AU - Pham, Si M AU - Sanchez, Pablo G AU - Kon, Zachary N PY - 2016/12/14 Y2 - 2024/03/28 TI - Thrombosis of the Right Internal Jugular Vein is Not a Contraindication to Ambulatory Veno-Venous Extracorporeal Membrane Oxygenation with a Bicaval Dual-Lumen, Single Cannula System JF - The Heart Surgery Forum JA - HSF VL - 19 IS - 6 SE - DO - 10.1532/hsf.1569 UR - https://journal.hsforum.com/index.php/HSF/article/view/1569 SP - E282-E283 AB - <strong>Background:</strong> Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is an ever-emerging method of managing respiratory failure in patients who are refractory to conventional mechanical ventilatory support. An increasingly common method of cannulation involves placement of a bicaval dual-lumen, single cannula via the right internal jugular (IJ) vein. Thrombus in this vein has been considered a contraindication for cannula placement. <br /><strong>Case report:</strong> A 45-year-old Hispanic male presented with bleomycin-induced respiratory failure resulting in acute respiratory distress syndrome (ARDS). Ambulatory VV-ECMO support was initiated, and during surgical cannula placement an occlusive thrombus was noted in the right IJ vein. A tract was dilated and the cannula was placed without any thromboembolic complications.<br /><strong>Conclusion:</strong> This case demonstrates that cannulation for ambulatory VV-ECMO in the setting of an occlusive IJ thrombus can be safe and feasible. ER -