%0 Journal Article
%T The position of the inferior vena cava-right atrium junction  on simple radiography: implication for optimal veno-venous  extracorporeal membrane oxygenation cannula tip position
%A Dong Su Kim
%A Moon Ok Lee
%A Yong Hwan Kim
%A Yun Gyu Song
%J SCIE-indexed Journal
%D 2019
%R 10.21037/jtd.2019.09.10
%X Extracorporeal membrane oxygenation (ECMO) is increasingly used for patients with respiratory and/or cardiac failure (1). Among the factors affecting effective oxygenation in veno-venous (V-V) ECMO, the amount of recirculation can be affected by cannula position (2). Therefore, adequate tip position of V-V ECMO cannula is important. In the V-V ECMO with classic feature, drainage cannula tip is positioned at or just distal to the inferior vena cava-right atrium junction (IRJ) and a return cannula is positioned at the right atrium-superior vena cava junction or within the right atrium (RA) (3). And this position is confirmed by echocardiography in general, which is operator-dependent and is inconvenient for the patients when performed (4)
%U http://jtd.amegroups.com/article/view/31839/html