Venovenous extracorporeal membrane oxygenation for patients with single-ventricle anatomy: A registry report

The Journal of Thoracic and Cardiovascular Surgery
Scott I AydinSamuel Weinstein

Abstract

Support with extracorporeal membrane oxygenation for cardiopulmonary failure is done so with venoarterial cannulation in the majority of children with single-ventricle anatomy. However, there is a growing experience for patients with pure oxygenation/ventilation impairment supported with venovenous extracorporeal membrane oxygenation. We describe that experience. Data were collected from the Extracorporeal Life Support Organization registry for patients with single-ventricle anatomy supported with venovenous extracorporeal membrane oxygenation from 1990 to 2012. Descriptive statistics and multivariate analyses for associations with mortality were conducted. A total of 89 patients with single-ventricle anatomy had venovenous extracorporeal membrane oxygenation performed at a median age of 66 days (8-221). Survival to discharge was 48%. Fifty-four patients (61%) had shunt physiology, 22 patients (25%) had cavopulmonary connections, and 13 patients (14%) had single-ventricle anatomy but with no previous cardiac surgery. Indication for extracorporeal membrane oxygenation was respiratory failure in 59 patients (63%) and cardiac failure in 30 patients (32%). Double-lumen cannulas were used in 62 patients (70%). Bivariate analysis dem...Continue Reading

References

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Citations

May 5, 2017·European Journal of Heart Failure·P P Roeleveld
May 13, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Susan L BrattonRavi R Thiagarajan
Dec 8, 2016·World Journal for Pediatric & Congenital Heart Surgery·Richard P FernandezDarren Berman
Apr 16, 2020·World Journal for Pediatric & Congenital Heart Surgery·Toni MaticIvan Malcic
Sep 10, 2019·Frontiers in Pediatrics·Peter Paul Roeleveld, Malaika Mendonca
Aug 20, 2019·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Roberto LorussoGlenn Whitman

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