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Table 2 pros and cons of double lumen cannula and femoro-jugular cannulation

From: The use of double lumen cannula for veno-venous ECMO in trauma patients with ARDS

Veno-venous ECMO

femoral-jugular cannulation

double lumen cannula

PROs

PROs

High blood flow 6–7 L/min possible, No fluoroscopy needed for cannulation, Bedside cannulation possible, Heparin free run possible, Suitable for patients with high risk of bleeding

More comfortable for awake patients, Less or no sedation and less pain medication necessary, Fully mobilization, sitting and walking possible

CONTRAs

CONTRAs

Risk of femoral cannula kinking during mobilization, Less comfortable for patients, More pain medication, eventually sedation necessary

Fluoroscopy recommended for cannulation, less risk of malposition, bed-side cannulation with high risk with echocardiography possible, pTT 50–60 s needed, not suitable for bleeding patients, patients with severe brain injury or high bleeding risk patients, maximal blood flow about 5 L/min with 31 F cannula