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Anesth Analg 2003;97:648-649
© 2003 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Transesophageal Echocardiography-Guided Placement of Internal Jugular Percutaneous Venovenous Bypass Cannula in Orthotopic Liver Transplantation

Raymond M. Planinsic, MD, Ramona Nicolau-Raducu, MD, John C. Caldwell, MD, Shushma Aggarwal, MD, and Ibtesam Hilmi, MD

Department of Anesthesiology, University of Pittsburgh Medical Center, Pennsylvania

Address correspondence and reprint requests to Raymond M. Planinsic, MD, Director of Hepatic Transplantation Anesthesiology, University of Pittsburgh Medical Center, 200 Lothrop St., Room C-207, Pittsburgh, PA 15213. Address e-mail to planinsicrm{at}anes.upmc.edu

Venovenous bypass has improved patient survival and decreased morbidity and mortality in the field of orthotopic liver transplantation. The standard at many transplant centers is the use of the internal jugular percutaneous venovenous bypass cannulae (PVVBC) for venous return to the patient. Placement of these large (18F) PVVBC may lead to several complications and requires confirmation before use. Use of transesophageal echocardiography, an effective and rapid method to guide placement of the PVVBC and minimize potential complications associated with insertion of the device, is described.

IMPLICATIONS: During orthotopic liver transplantation, a venovenous bypass cannula is inserted into the internal jugular vein as a conduit for venous return. This article describes how the use of transesophageal echocardiography can facilitate the insertion and minimize the complications associated with its use.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.