It is rare for children to receive more than one course of support with extracorporeal membrane oxygenation, and in those who do undergo multiple episodes, the interval is usually days to weeks between events. Little data exists on re-cannulation years after an initial extracorporeal membrane oxygenation run, and late repeat cannulation can pose unique challenges. We report the case of a 10-year-old male patient with right jugular vein occlusion due to a previous course of extracorporeal membrane oxygenation as a neonate, who was successfully supported via central cannulation. This case demonstrates the importance of adequate imaging of target vasculature prior to attempting re-cannulation of a previously used vessel. Establishing a thoughtful strategy for late repeat cannulation is essential to achieve safe access in unusual and challenging situations.

儿童很少接受超过一个疗程的体外膜肺氧合支持，并且在经历多次发作的儿童中，两次事件之间的间隔通常为数天到数周。在首次体外膜肺氧合运行后数年重新插管的数据很少，后期重复插管可能会带来独特的挑战。我们报告了一例 10 岁男性患者，由于先前在新生儿时期接受过体外膜肺氧合而导致右颈静脉闭塞，并通过中央插管成功支持了该患者。该案例表明，在尝试对先前使用过的血管进行重新插管之前，对目标脉管系统进行充分成像的重要性。