Extracorporeal membrane oxygenation without ligation of the carotid artery

Dacar, D; Zobel, G; Kuttnig-Haim, M; Kuttnig, M.; Rödl, Siegfried; Riccabona, Michael; Rigler, B; Müller, Wilhelm

doi:10.1097/00003246-199203000-00024

Cited by 6 publications

(4 citation statements)

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“…Reconstruction of the right common carotid artery (rCCA) was performed in 7 patients. The internal jugular vein was reconstructed in 1 patient [7,14].…”

Section: Methodsmentioning

confidence: 99%

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Venous thrombosis in and after extracorporeal membrane oxygenation: detection and follow-up by color Doppler sonography

et al. 1997

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“…Reconstruction of the right common carotid artery (rCCA) was performed in 7 patients. The internal jugular vein was reconstructed in 1 patient [7,14].…”

Section: Methodsmentioning

confidence: 99%

“…At ECMO installation a Goretex (W. L. Gore Assoc., Flagstaff, USA) patch was used for suturing the catheter to the rCCA. This patch was replaced by a new one for arterial reconstruction at decannulation [6,7]. After open heart surgery 4 infants had surgically installed aortic catheters that provided the right atrial line for blood drainage.…”

Section: Methodsmentioning

confidence: 99%

Venous thrombosis in and after extracorporeal membrane oxygenation: detection and follow-up by color Doppler sonography

et al. 1997

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“…To avoid ligation of the common carotid artery we applied an arterial cannulation technique using a Gore-Tex graft. This part of the graft also provided a patch at the arteriotomy after decannulation ( 3 ). Veno-venous bypass (VV-ECMO) was performed in most cases via the internal jugular vein and right femoral vein.…”

Section: Ecmo-system and Cannulationmentioning

confidence: 99%

Neonatal Extracorporeal Membrane Oxygenation Due to Respiratory Failure: A Single Center Experience Over 28 Years

et al. 2018

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Background: ECMO therapy is worldwide declining in the neonatal population; hence, its therapeutic value is sometimes questioned.Objectives: To report our experience with neonatal ECMO due to respiratory failure over a 28 year time period.Methods: Retrospective single center observational study including all neonates admitted to ECMO due to respiratory failure between 1989 and 2016 at Graz, Austria. Data were collected regarding survival rate, duration of ECMO, complications, length of hospital stay, changes over time, and follow-up.Results: Sixty-seven neonates were admitted and 43 (64%) needed ECMO—median birth weight 3390 grams (range 1810–4150) and gestational age 39 weeks (32–43). Survival rate was 65% (28/43); with higher rates in meconium aspiration syndrome (MAS) 89% vs. congenital diaphragmatic hernia (CDH) 46% and septic shock 44% (p = 0.005 and p = 0.006, respectively). ECMO duration was median 5 days (1–30) and veno-arterial ECMO (52%) dominated. Need for ECMO therapy decreased over time (p < 0.001). Complications occurred in 31 (72%) neonates. Five neonates had cerebral hemorrhages (11.4%) and four had cerebral infarction (9.1%). Of 26 survivors 17 (65%) showed normal neurodevelopmental outcome at median follow-up of 73 months. Motor deficits were present in one case, cognitive deficits in 9 (35%). Median length of hospital stay was 78 days in those with deficits and 29 in those with normal neurodevelopmental outcome (p < 0.001).Conclusions: Survival rate did not change over the study time but indications for ECMO did. Cognitive impairment was the major long-term deficit following neonatal ECMO being associated with longer hospital stay.

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“…Carotid artery cannulation is standard in pediatric ECMO with arterial cannula size ranging from 10 to 13 Fr . An ECMO cannula is essentially 12 Fr in diameter for the entire length of usable cannula.…”

Section: Introductionmentioning

confidence: 99%

Initial Experience With the Pediatric Impella Device: A Feasibility Study in a Porcine Model

Webb

Wang

Riegel

et al. 2016

Cathet Cardio Intervent

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Objective This study's objective was to evaluate insertion techniques and device fit of the pediatric version of the Impella ventricular assist device in swine which had similar sized carotids and left ventricles (LVs) as children weighing 10–20 kg. Background Options for minimally invasive circulatory support in children are limited. A modified device based on the current Impella 2.5 platform was created in an effort to provide minimally invasive circulatory support for children. Methods Animal studies (n = 10) were performed to determine technical feasibility of device implant via the right common carotid artery (RCCA) in swine with a carotid and LV size similar to children with a BSA < 1 m2 and weight 10‐20 kg. The RCCA diameter was measured on pre‐implant ultrasound and the LV length was measured at necropsy. The animals were supported for 4 hr and the device explanted. Blood samples and post‐explant necropsy was performed to evaluate for device related complications. Results All animals underwent successful device insertion. Mean carotid artery diameter by ultrasound was 3.5 ± 0.3 mm. There was no LV or aortic/mitral valve damage with a minimum LV length of 5.4 cm. Conclusions Minimally invasive circulatory support is needed in small children. Limitations are primarily related to vessel and chamber size. The Impella Pediatric catheter was safely and successfully implanted in carotid arteries similar in size to children weighing 10–20 kg with minimal complications. © 2016 Wiley Periodicals, Inc.

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Extracorporeal membrane oxygenation without ligation of the carotid artery

Cited by 6 publications

References 0 publications

Venous thrombosis in and after extracorporeal membrane oxygenation: detection and follow-up by color Doppler sonography

Venous thrombosis in and after extracorporeal membrane oxygenation: detection and follow-up by color Doppler sonography

Neonatal Extracorporeal Membrane Oxygenation Due to Respiratory Failure: A Single Center Experience Over 28 Years

Initial Experience With the Pediatric Impella Device: A Feasibility Study in a Porcine Model

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