Challenges of acute phase neuroimaging in VA-ECMO, pitfalls and alternative imaging options

Authors

Hassan Aboul Nour, Henry Ford HealthFollow
Neo Poyiadji, Henry Ford HealthFollow
Ghada A. Mohamed, Henry Ford HealthFollow
Owais K. Alsrouji, Henry Ford HealthFollow
Ahmad Riad R. Ramadan, Henry Ford HealthFollow
Brent Griffith, Henry Ford HealthFollow
Horia Marin, Henry Ford HealthFollow
Alex B. Chebl, Henry Ford HealthFollow

Recommended Citation

Aboul Nour H, Poyiadji N, Mohamed G, Alsrouji OK, Ramadan AR, Griffith B, Marin H, and Chebl AB. Challenges of acute phase neuroimaging in VA-ECMO, pitfalls and alternative imaging options. Interv Neuroradiol 2021; 27(3):434-439.

Document Type

Article

Publication Date

6-1-2021

Publication Title

Interv Neuroradiol

Abstract

Large vessel occlusion in patients on ECMO is challenging to appreciate clinically secondary to sedation or induced paralysis, thus placing more emphasis on neurovascular imaging. However, emergent CTA and CTP are both inaccurate and unreliable in ECMO patients due to altered circuitry and interference with normal physiologic hemodynamics. In this review, the utility of DSA is discussed in evaluating the altered hemodynamics of VA-ECMO circuits and patency of major vasculature. In addition, the potential use of TCD in ECMO patients is discussed.

PubMed ID

32990105

Volume

27

Issue

3

First Page

434

Last Page

439