ArticlePediatric surgery international2018
Use of venovenous ECMO for neonatal and pediatric ECMO: a decade of experience at a tertiary children's hospital.
Article in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 55 citations in OpenAlex.
- Pumpless arteriovenous extracorporeal membrane oxygenation for 2000 g newborns with respiratory failure: proof of principle data from a preterm lamb model.Pediatric research · 2026Article
- Experience of patent ductus arteriosus ligation during extracorporeal membrane oxygenation treatment in newborns with severe respiratory failure due to persistent pulmonary hypertension: a single-center retrospective study.Italian journal of pediatrics · 2024Article
- Predictors of intracranial hemorrhage in neonatal patients on extracorporeal membrane oxygenation.Scientific reports · 2023Observational
- Daily Nutritional Intake of Pediatric Patients (N = 64) on Extracorporeal Membrane Oxygenation from 2018 to 2022: A Single-Center Report.Nutrients · 2023Article
- Surgical experience of extracorporeal membrane oxygenation for neonates with severe respiratory failure.BMC surgery · 2023Article
- Venovenous extra corporeal life support in an infant with foreign body aspiration: A case report.Respiratory medicine case reports · 2022Article
- Peripheral neuropathy after extra-corporeal membrane oxygenation therapy in children: A case report.Medicine · 2021Article
- Venovenous versus venoarterial extracorporeal membrane oxygenation among infants with hypoxic-ischemic encephalopathy: is there a difference in outcome?Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Seizures Are Associated With Brain Injury in Infants Undergoing Extracorporeal Membrane Oxygenation.Journal of child neurology · 2021Article
- Clinical Characteristics and Outcomes of Children With Extracorporeal Membrane Oxygenation in a Developing Country: An 11-Year Single-Center Experience.Frontiers in pediatrics · 2021Article
- Continuous infusion chemotherapy, radiotherapy, and FDG-PET are feasible during extracorporeal membrane oxygenation.Pediatric blood & cancer · 2020Article
- Percutaneous bicaval dual lumen cannula for extracorporeal life support.Acute and critical care · 2020Article
- Extracorporeal Membrane Oxygenation in Pediatric Patients with Respiratory Failure: Early Experience with the Double-Lumen Cannula Over 2 Years.The Korean journal of thoracic and cardiovascular surgery · 2020Article
- Neonatal respiratory extracorporeal membrane oxygenation and primary diagnosis: trends between two decades.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Venoarterial extracorporeal membrane oxygenation in heart surgery post-operative pediatric patients: A retrospective study at Christus Muguerza Hospital, Monterrey, Mexico.SAGE open medicine · 2020Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvances in extracorporeal membrane oxygenation (ECMO) have led to increased use of venovenous (VV) ECMO in the pediatric population. We present the evolution and experience of pediatric VV ECMO at a tertiary care institution.
methodsA retrospective cohort study from 01/2005 to 07/2016 was performed, comparing by cannulation mode. Survival to discharge, complications, and decannulation analyses were performed.
resultsIn total, 160 patients (105 NICU, 55 PICU) required 13 ± 11 days of ECMO. VV cannulation was used primarily in 83 patients with 64% survival, while venoarterial (VA) ECMO was used in 77 patients with 54% survival. Overall, 74% of patients (n = 118) were successfully decannulated; 57% survived to discharge. VA ECMO had a higher rate of intra-cranial hemorrhage than VV (22 vs 9%, p = 0.003). Sixteen VA patients (21%) had radiographic evidence of a cerebral ischemic insult. No cardiac complications occurred with the use of dual-lumen VV cannulas. There were no differences in complications (p = 0.40) or re-operations (p = 0.85) between the VV and VA groups.
conclusionDual-lumen VV ECMO can be safely performed with appropriate image guidance, is associated with a lower rate of intra-cranial hemorrhage, and may be the preferred first-line mode of ECMO support in appropriately selected NICU and PICU patients. LEVEL OF EVIDENCE: II.
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