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Accessing extracorporeal membrane oxygenation circuits to perform emergent interventional cardiac catheterisation

Published online by Cambridge University Press:  12 September 2019

Sebastian Góreczny
Affiliation:
Department of Cardiology, Colorado Children’s Hospital, University of Colorado Hospital, Denver, CO, USA Department of Cardiology, Polish Mother’s Memorial Hospital, Research Institute, Lodz, Poland
Daniel McLennan
Affiliation:
Department of Cardiology, Colorado Children’s Hospital, University of Colorado Hospital, Denver, CO, USA
Gareth J. Morgan*
Affiliation:
Department of Cardiology, Colorado Children’s Hospital, University of Colorado Hospital, Denver, CO, USA Department of Adult Congenital Cardiology, University of Colorado Hospital, Denver, CO, USA
*
Author for correspondence: Gareth J. Morgan, Department of Cardiology, Colorado Children’s Hospital, University of Colorado Hospital, 13123 East 16th Avenue, Aurora, CO, 80045. E-mail: [email protected]

Abstract

Cardiac catheterisation in patients on extracorporeal membrane oxygenation (ECMO) may reveal new information leading to modification of a therapeutic plan and correction of newly recognised or residual lesions. Complications associated with cardiac catheterisation during ECMO are not uncommon and often related to the access site. We report a straightforward technique for accessing the ECMO circuit to perform an emergent cardiac catheterisation in two patients with hypoplastic left heart syndrome decompensated after Norwood I, due to presumed systemic-to-pulmonary artery shunt obstruction.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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