Ultrasound guided femoral cannulation and percutaneous perfusion of the distal limb for VA ECMO

Percutaneous cannulation allows a prompt approach for establishing veno-arterial extracorporeal membrane oxygenation in acute cardiopulmonary failure. Access to an artery or a vein can sometimes be difficult with severe complications also with percutaneous approach. To reduce morbidity, we describe our technique of a real-time ultrasound cannulation of the femoral vessels.