Extracorporeal Life Support in Neonates, Infants, and Children After Repair of Congenital Heart Disease: Modern Era Results in a Single Institution

Alsoufi, Bahaaldin; Shen, Irving; Karamlou, Tara; Giacomuzzi, Carmen; Burch, Grant H.; Silberbach, Michael; Ungerleider, Ross M.

doi:10.1016/j.athoracsur.2005.02.023

Cited by 52 publications

(71 citation statements)

References 20 publications

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“…The incidence of cardiac ECMO after congenital heart surgery ranges between 2% and 5%. [1,2,[10][11][12] Similarly, the incidence of ECMO after surgery was 2.3% in our study.…”

Section: Discussionmentioning

confidence: 58%

“…[23,24] However, other reports showed that outcomes for patients receiving ECMO support for failure to wean from CPB might be similar to those patients in whom ECMO support was initiated after successful weaning for CPB. [2,10,11,25] In our study, interestingly, failure to wean from CPB in the operating room was found to be associated with a better prognosis than other indications.…”

Section: Discussionmentioning

confidence: 64%

“…The main goal of cardiac ECMO is to profoundly unload the heart and reduce its workload, allowing a limited time interval for the myocardial recovery from damage or an alternative means of support to be found (i.e., donor heart, implantable assist device). [2,10] Extracorporeal membrane oxygenation support is rarely required after pediatric cardiac surgery. The incidence of cardiac ECMO after congenital heart surgery ranges between 2% and 5%.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, indications for use of ECMO in pediatric population have been expanded, including circulatory support before congenital cardiac surgery, [13] severe myocardial dysfunction and myocarditis as a bridge to recovery, [14,15] or as bridge to transplantation, [14][15][16] treatment of pulmonary hypertension, [17] circulatory support after congenital cardiac surgery, [1,2,[10][11][12] and after transplantation. [18] Extracorporeal membrane oxygenation indications for postcardiotomy circulatory support in pediatric cardiac surgery cases are affected by many factors such as ventricular function, response to conventional inotropic support, and pulmonary artery pressure.…”

Section: Discussionmentioning

confidence: 99%

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Extracorporeal membrane oxygenation support after pediatric cardiac surgery: our single-center experience

Yüksel¹

2017

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada, pediyatrik açık kalp cerrahisi sonrası mekanik destek gereken hastalarda beş yıllık ekstrakorporeal membran oksijenasyonu deneyimimiz sunuldu.Ça lış mapla nı:Şubat 2010 -Mart 2015 tarihleri arasında açık kalp cerrahisi yapılan ve postkardiyotomi dolaşım yetmezliği nedeniyle ekstrakorporeal membran oksijenasyonu desteği gereken 29 çocuğun (16 erkek, 13 kız; ort. yaş 21.6 ay; dağılım 5 gün-162 ay) tıbbi kayıtları retrospektif olarak incelendi. Bul gu lar:En sık tanı, sekiz hastada (%27.5) Fallot tetralojisi idi. En sık ekstrakorporeal membran oksijenasyonu endikasyonu, 12 hastada (%41) kardiyopulmoner baypastan ayrılmada yetersizlik idi. Ortalama ekstrakorporeal membran oksijenasyonu destek süresi 6.9 gündü (dağılım 14 saat-32 gün). En sık görülen ekstrakorporeal membran oksijenasyonu ile ilişkili komplikasyon, 14 hastada (%48.3) böbrek yetmezliği idi. On dört hasta (%48.3) başarıyla ekstrakorporeal membran oksijenasyonu desteğinden ayrılırken, altı hasta (%20.7) herhangi bir nörolojik sekel olmaksızın hastaneden taburcu edildi. Hiç bir anlamlı bir mortalite öngördürücüsü bulunmadı. Kardiyopulmoner baypastan ayrılmada yetersizlik, diğer ekstrakorporeal membran oksijenasyonu endikasyonlarına kıyasla, daha iyi sonuçlar ile neticelendi.So nuç: Ekstrakorporeal membran oksijenasyonu, pediyatrik açık kalp cerrahisi sonrasında etkili bir kardiyopulmoner desteği sağlar. Dikkatli hasta seçimi ve ekstrakorporeal membran oksijenasyonu için doğru zamanlama ve uygun tedavi optimum sonuçlar için çok önemlidir.Anah tar söz cük ler: Ekstrakorporeal membran oksijenasyonu; mekanik destek; pediyatrik kalp cerrahisi; postkardiyotomi dolaşım yetmezliği; venoarteriyel. ABSTRACTBackground:In this study, we present our five-year extracorporeal membrane oxygenation experiences in patients requiring mechanical support after pediatric open heart surgery.

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“…The incidence of cardiac ECMO after congenital heart surgery ranges between 2% and 5%. [1,2,[10][11][12] Similarly, the incidence of ECMO after surgery was 2.3% in our study.…”

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Extracorporeal membrane oxygenation support after pediatric cardiac surgery: our single-center experience

Yüksel¹

2017

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…Nonetheless, the ECMO results vary according to the center, reflecting several types of indication and adverse factors related to the patient. Alsoufi et al 17 identified age, weight, type and duration of assistance, univentricular physiology, re-exploration, number of complications, sepsis, renal and respiratory failure as mortality risk factors…”

Section: Discussionmentioning

confidence: 99%