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1.
Clin Case Rep ; 5(4): 508-512, 2017 Apr.
Article in English | MEDLINE | ID: mdl-28396779

ABSTRACT

Therapeutic lipiodol lymphangiography for postoperative chyle leakage due to lymph duct damage has recently been attracting attention. Lymph duct puncture is technically complex and difficult. Lymphangiography and sclerotherapy can be easily applied by cannulation with a catheter for the neonatal central vein to the lymph duct under a microscope.

2.
BMJ Case Rep ; 20152015 Jun 08.
Article in English | MEDLINE | ID: mdl-26055605

ABSTRACT

Typical configurations of extracorporeal membrane oxygenation (ECMO) include venovenous (VV) and venoarterial (VA) configurations; however, other configurations of ECMO may be necessary in certain situations. We performed VA ECMO for a 71-year-old man who experienced refractory hypoxaemia associated with a brief cardiac arrest after resection of the small intestine showing necrosis. As the cardiac function improved, the patient showed a complication of poor oxygenation in the upper body due to insufficient respiratory function. Therefore, we performed VA-venous ECMO, which further improved his cardiac function and allowed him to be converted to VV ECMO. It is very important to consider different configuration strategies of ECMO by adjusting the patient's cardiopulmonary conditions appropriately.


Subject(s)
Extracorporeal Membrane Oxygenation/methods , Heart Arrest/therapy , Respiratory Insufficiency/therapy , Veins , Aged , Heart Arrest/complications , Humans , Male , Respiratory Insufficiency/etiology
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