RT Journal Article
SR Electronic
T1 Caveats to Acute Imaging for Acute Stroke in the Setting of Venoarterial Extracorporeal Membrane Oxygenation
JF Neurology: Clinical Practice
FD Lippincott Williams & Wilkins
SP 10.1212/CPJ.0000000000001103
DO 10.1212/CPJ.0000000000001103
A1 Viamonte, Manuel
A1 Yu, John
A1 Echevarria, Franklin D
A1 Nagae, Lidia
A1 Youn, Teddy S
A1 Tahsi-Fahadan, Pouya
A1 Simpkins, Alexis N
YR 2021
UL http://cp.neurology.org/content/early/2021/05/18/CPJ.0000000000001103.abstract
AB Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is increasingly used for cardiorespiratory support in medically refractory cases. The high rate of neurologic complications, specifically cerebrovascular disorders such as acute ischemic stroke, in VA-ECMO patients frequently prompts the acquisition of neuroimaging studies such as computed tomography with angiography and perfusion imaging (CTA and CTP). Clinicians must be familiar with the ECMO-related artifacts when interpreting such studies. Here we describe a case of asymmetric contrast opacification in a VA-ECMO patient with axillary artery cannulation.