A Systematic Review of Clinical Outcomes After Carotid Artery Ligation Versus Carotid Artery Reconstruction Following Venoarterial Extracorporeal Membrane Oxygenation in Infants and Children

Gil, Lindsay A.; Apfeld, Jordan C.; Gehred, Alison; Walczak, Ashely B.; Frazier, W. Joshua; Seabrook, Ruth B.; Olutoye, Oluyinka O.; Minneci, Peter C.

doi:10.1016/j.jss.2023.06.046

Journal of Surgical Research

2023

DOI: 10.1016/j.jss.2023.06.046

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A Systematic Review of Clinical Outcomes After Carotid Artery Ligation Versus Carotid Artery Reconstruction Following Venoarterial Extracorporeal Membrane Oxygenation in Infants and Children

Lindsay A. Gil,

Jordan C. Apfeld,

Alison Gehred

et al.

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Cited by 7 publications

References 87 publications

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Incidence, risk factors, and management following cardiac catheterization via carotid and axillary artery approaches: A single‐center experience on pseudoaneurysms in young infants

Takajo,

Newkirk,

Shahanavaz

2024

Cathet Cardio Intervent

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BackgroundUse of alternate access for complex neonatal interventions has gained acceptance with carotid and axillary artery access being used for ductal and aortic interventions.MethodsThis study was a retrospective, single‐center study at Cincinnati Children's Hospital Medical Center. The study included infants, aged ≤90 days, who underwent cardiac catheterization with either carotid or axillary artery access between 2013 and 2022. Data encompassing demographics, clinical information, catheterization data, and the incidence of pseudoaneurysm as a procedural complication were collected.ResultsAmong 29 young infants (20 males, 69%), 4 out of 15 patients (27%) who underwent the carotid approach developed pseudoaneurysms, while 1 out of 14 patients (7.1%) who underwent the axillary approach developed one. Two patients required transcatheter intervention due to enlargement of pseudoaneurysms, involving the placement of transarterial flow‐diverting stent and occlusion of left common carotid artery. Longer sheath in‐to‐out time (135 vs. 77 min, p = 0.001), and higher closing activated clotting times (ACT) (268 vs. 197 s, p = 0.021) were observed among patients with pseudoaneurysms compared to those without.ConclusionsYoung infants with alternative access via the carotid and axillary arteries may be at risk of pseudoaneurysm formation during longer procedures and with higher ACTs for closure. Ultrasound‐guided compression can be employed to prevent the progression and in resolution of these lesions.

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Incidence, risk factors, and management following cardiac catheterization via carotid and axillary artery approaches: A single‐center experience on pseudoaneurysms in young infants

Takajo,

Newkirk,

Shahanavaz

2024

Cathet Cardio Intervent

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Un saignement pharyngé chez un nourrisson fébrile

Moreddu,

Hak,

Nicollas

2024

Annales françaises d'Oto-rhino-laryngologie et de Pathologie Ce

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Pharyngeal bleeding in a febrile infant

Moreddu,

Hak,

Nicollas

2024

European Annals of Otorhinolaryngology, Head and Neck Diseases

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A Systematic Review of Clinical Outcomes After Carotid Artery Ligation Versus Carotid Artery Reconstruction Following Venoarterial Extracorporeal Membrane Oxygenation in Infants and Children

Cited by 7 publications

References 87 publications

Incidence, risk factors, and management following cardiac catheterization via carotid and axillary artery approaches: A single‐center experience on pseudoaneurysms in young infants

Incidence, risk factors, and management following cardiac catheterization via carotid and axillary artery approaches: A single‐center experience on pseudoaneurysms in young infants

Un saignement pharyngé chez un nourrisson fébrile

Pharyngeal bleeding in a febrile infant

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