Original articlePediatric cardiacPreoperative Extracorporeal Membrane Oxygenation as a Bridge to Cardiac Surgery in Children With Congenital Heart Disease
Section snippets
Patients and Methods
Retrospective data collection for purposes of this study was approved by the Institutional Review Board at Children's Hospital Boston, and the need for informed consent was waived. We included patients placed on ECMO for preoperative stabilization and who remained on ECMO until their palliative or definitive cardiac surgical procedure. Patients supported with ECMO after an index cardiac surgical procedure and who had a subsequent surgical operation during ECMO support and those who used ECMO as
Study Population
From January 1996 to December 2008, we identified 26 CHD patients with refractory cardiopulmonary failure requiring ECMO support as a bridge to a cardiac surgical procedure. These 26 patients represent 6.5% of our total ECMO experience (442 ECMO uses in 399 patients) during the same period. Males constituted 69% of the cohort (n = 18). Median age at cannulation was 0.12 months (range, 0 to 193). At the time of cannulation 17 patients were neonates (less than 1 month of age) and 6 patients were
Comment
Although several reports have addressed the importance of ECMO support for low cardiac output, cardiac arrest, hypoxemia after cardiopulmonary bypass, or as a bridge to cardiac transplantation [5, 10, 11, 12, 13, 14, 15, 16], reports describing outcomes of patients undergoing ECMO cannulation for cardiopulmonary failure as a bridge to a cardiac surgical repair are rare. The present case series of 26 patients is the largest reported to date. Inability to decannulate and a long ECMO run after
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