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Journal of Case Reports
Therapeutic Heart Catheter through an ECMO Arterial Line: Non-conventional way Made Possible
Karam Issa, Bernward Lauer, Moritz Laubscher, Marc Alexander Ohlow
Department of Cardiology, Zentralklinik Bad Berka, Bad Berka, Germany.
Corresponding Author:
Dr. Karam Issa
Email:  karam_issa@hotmail.com
Received: 29-JAN-2018 Accepted: 10-SEP-2018 Published Online: 10-OCT-2018
DOI: http://dx.doi.org/10.17659/01.2018.0063
Background: Coronary angiography is an important diagnostic tool in patients with acute coronary syndrome. Case Report: We report a case of a 39-years-old male patient with severe peripheral arterial disease, who presented to us in cardiogenic shock. To establish an arterial line was the challenging corner stone for both extracorporeal membrane oxygenation and for heart catheter. Conclusion: We succeeded to ensure a safe and effective arterial way to catheterize the patient diagnostically and therapeutically through direct puncture of the ECMO arterial cannula. 
Keywords : Cardiogenic Shock, Coronary Angiography, Coronary Vessels, Extracorporeal Membrane Oxygenation, Peripheral Arterial Disease, Percutaneous Coronary Intervention.
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