Leonardo A. Salazar-Rojas, Departamento de ECMO, Fundación Cardiovascular de Colombia, Floridablanca, Colombia
Juan Porras, Facultad de Medicina, Universidad del Rosario, Bogotá, Colombia
Claudia C. Colmenares-Mejía, Departamento de ECMO, Fundación Cardiovascular de Colombia, Floridablanca, Colombia
Valentina Pinzón, Departamento de ECMO, Fundación Cardiovascular de Colombia, Floridablanca, Colombia
Extracorporeal life support is a therapeutic option for patients with cardiogenic shock secondary to right ventricular failure and pulmonary embolism. Thromboembolic disease poses a challenge in ECMO therapy due to the hypercoagulable state affecting both venous and arterial systems. We present a case of pulmonary embolism-induced cardiogenic shock managed with a percutaneous jugulo-subclavian ECMO-VA cannulation due to the impossibility of femoral access. This case highlights the feasibility of jugulo-subclavian cannulation in patients with contraindications for femoral access, demonstrating a favorable outcome without sequelae at six months of follow-up.
Keywords: Extracorporeal membrane oxygenation. Shock. Cardiogenic. Pulmonary embolism.
