Your browser doesn't support javascript.
loading
Friend or Foe? Venoarterial ECMO via Carotid Artery "Jump Graft": A Case Series.
Bauer, Hannah K; Malone, Matthew P.
Afiliação
  • Bauer HK; Louisiana State University Health Sciences Center, Children's Hospital New Orleans, New Orleans, Louisiana.
  • Malone MP; The University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, Arkansas.
J Extra Corpor Technol ; 54(1): 67-72, 2022 Mar.
Article em En | MEDLINE | ID: mdl-36380829
Extracorporeal life support is used in adult and pediatric patients for refractory cardiac and respiratory failure. The great arteries and veins of the neck and groin are often used for cannulation to extracorporeal membrane oxygenation (ECMO). Newer cannulation techniques use the subclavian or axillary arteries, in addition to synthetic grafts anastomosed in end-to-side fashion, from which the cannula is positioned. These newer techniques can prevent need for ligation and sacrifice of important major vessels that is often undertaken in "traditional" direct surgical cannulation strategies. To our knowledge this graft technique has not been performed in pediatric ECMO patients. We describe a case series of nine patients from 2012 to 2017 supported with venoarterial (V-A) ECMO utilizing a synthetic Gore-Tex® "jump graft" sewn in an end-to-side fashion to the right carotid artery, for the arterial cannula insertion. Each patient's hospital course was reviewed with particular consideration given to disease process, site of cannulation, neurologic examination abnormalities noted during ECMO, computed tomography (CT) or magnetic resonance imaging (MRI) evidence of intracranial hemorrhage, and outcomes. Eight of nine patients were successfully cannulated utilizing this technique without neurologic complication. One suffered catastrophic intracerebral hemorrhage. This series is limited by small sample size and single center experience. Further work is needed to determine the advantages and disadvantages of utilizing a synthetic graft in pediatric V-A ECMO.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Insuficiência Respiratória / Oxigenação por Membrana Extracorpórea Tipo de estudo: Etiology_studies / Observational_studies Limite: Adult / Child / Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Insuficiência Respiratória / Oxigenação por Membrana Extracorpórea Tipo de estudo: Etiology_studies / Observational_studies Limite: Adult / Child / Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article