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    "titulo" => "Malpositioning of a venous cannula into the contralateral femoral vein in VA-ECMO"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old woman was admitted to the ICU for cardiogenic shock due to viral myocarditis&#46; Despite exhausting maximal efforts&#44; her hemodynamic status continued to deteriorate&#46; The attending physician decided to initiate veno-arterial extracorporeal membrane oxygenation &#40;ECMO&#41; via a percutaneous femoral approach&#46; The left femoral vein and femoral artery cannulas were inserted smoothly&#46; However&#44; low flow occurred immediately after the ECMO run&#44; the ECMO flow was only 0&#46;6<span class="elsevierStyleHsp" style=""></span>L&#47;min at 3000<span class="elsevierStyleHsp" style=""></span>RPM&#46; A bedside abdominal X-ray showed the venous cannula crossing the left iliac vein with its tip located in the right iliac vein &#40;the black arrow in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Immediately after the diagnosis&#44; we stopped ECMO and replanted the femoral vein cannula&#46; Both the abdominal X-ray and echocardiography confirmed that the venous cannula was placed in the inferior vena cava &#40;the black arrow in <a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a> and white arrow in Vid&#46; A&#41;&#46; As the heart function gradually improved&#44; the patient was successfully weaned from ECMO after 5 days&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Although ultrasound is widely used to guide ECMO peripheral puncture cannulation&#44; we believe that it also should be mandatory in confirmation of the cannula location during the ECMO cannulation procedure&#46;</p></span>"
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        "texto" => "<p id="par0015" class="elsevierStylePara elsevierViewall">This work was supported by the scientific research fund of <span class="elsevierStyleGrantSponsor" id="gs1">National Health and Family Planning Commission of PRC-Major Science</span> &#40;Grant No&#46; <span class="elsevierStyleGrantNumber" refid="gs1">WKJ-ZJ-1601</span>&#41;&#44; <span class="elsevierStyleGrantSponsor" id="gs2">Zhejiang Medical and Health Science and Technology Plan Project</span> &#40;Grant No&#46; <span class="elsevierStyleGrantNumber" refid="gs2">2017KY182</span>&#41;&#46;</p>"
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