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Objectives: Serious acute vascular complications may occur during ECMO support. In our study, acute vascular complications that developed in patients followed up with ECMO support were evaluated. Methods: Patients older than 18 years of age who received ECMO support were included in this study. Acute vascular complications, risk factors, and results were analyzed by evaluating the data retrospectively. Results: Nineteen patients were included in the study. It was observed that V-A ECMO support was performed in 17 patients and V-V ECMO support was performed in two patients. Acute vascular complications developed in 7 patients (36.8%). A significant correlation was found between the ECMO cannulation type and the development of vascular complications (p=0.032). It was determined that the using of distal perfusion cannula or femoral artery graft to prevent the development of vascular complications did not reduce the development of vascular complications (including digital ischemia). Conclusion: We think that peripheral ECMO cannulation is associated with vascular complications and prospective studies are needed to prevent these complications. [ABSTRACT FROM AUTHOR]

Ischemia and compartment syndrome may be seen, especially in the distal limb, after femora-femoral cannulation for extracorporeal membrane oxygenation (ECMO). Several techniques have been used to decrease the rate of complications. Arterial hypoxemia may be prevented by reperfusion with distal limb. Prophylactic superficial femoral artery cannulation results in ease in operation and prevents perfusion. In the present case, we present prophylactic superficial femoral artery cannulation for limb reperfusion. [ABSTRACT FROM AUTHOR]