Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-18T06:56:47.641Z Has data issue: false hasContentIssue false
  • English
  • Français

Accessing extracorporeal membrane oxygenation circuits to perform emergent interventional cardiac catheterisation

Part of: Interventional Cardiology

Published online by Cambridge University Press:  12 September 2019

Sebastian Góreczny ,
Daniel McLennan  and
Gareth J. Morgan
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]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Extracorporeal membrane oxygenationcongenital heart diseasecardiac catheterisationtranscatheter interventions
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 10 , October 2019 , pp. 1290 - 1293
Check for updates
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alsoufi, B, Al-Radi, OO, Gruenwald, C, et al. Extra-corporeal life support following cardiac surgery in children: analysis of risk factors and survival in a single institution. Eur J Cardiothorac Surg 2009; 35: 1004–1011.CrossRefGoogle ScholarPubMed
Chrysostomou, C, Morell, VO, Kuch, BA, O’Malley, E, Munoz, R, Wearden, PD. Short- and intermediate-term survival after extracorporeal membrane oxygenation in children with cardiac disease. J Thorac Cardiovasc Surg 2013; 146: 317–325.CrossRefGoogle Scholar
Agarwal, HS, Hardison, DC, Saville, BR, et al. Residual lesions in postoperative pediatric cardiac surgery patients receiving extracorporeal membrane oxygenation support. J Thorac Cardiovasc Surg 2014; 147: 434–441.CrossRefGoogle ScholarPubMed
Desjardins, SE, Crowley, DC, Beekman, RH, Lloyd, TR. Utility of cardiac catheterization in pediatric cardiac patients on ECMO. Catheter Cardiovasc Interv 1999; 46: 62–67.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
Callahan, R, Trucco, SM, Wearden, PD, Beerman, LB, Arora, G, Kreutzer, J. Outcomes of pediatric patients undergoing cardiac catheterization while on extracorporeal membrane oxygenation. Pediatr Cardiol 2015; 36: 625–632.CrossRefGoogle ScholarPubMed
Zahn, EM, Dobrolet, NC, Nykanen, DG, Ojito, J, Hannan, RL, Burke, RP. Interventional catheterization performed in the early postoperative period after congenital heart surgery in children. J Am Coll Cardiol 2004; 43: 1264–1269.CrossRefGoogle ScholarPubMed
Panda, BR, Alphonso, N, Govindasamy, M, Anderson, B, Stocker, C, Karl, TR. Cardiac catheter procedures during extracorporeal life support: a risk-benefit analysis. World J Pediatr Congenit Heart Surg 2014; 5: 31–37.CrossRefGoogle ScholarPubMed
Kato, A, Lo Rito, M, Lee, KJ, et al. Impacts of early cardiac catheterization for children with congenital heart disease supported by extracorporeal membrane oxygenation. Catheter Cardiovasc Interv. 2017; 89: 898–905.CrossRefGoogle ScholarPubMed
Davenport, JJ, Lam, L, Whalen-Glass, R, et al. The successful use of alternative routes of vascular access for performing pediatric interventional cardiac catheterization. Catheter Cardiovasc Interv 2008; 72: 392–398.CrossRefGoogle ScholarPubMed

Góreczny et al. supplementary material

Video S1

Download Góreczny et al. supplementary material(Video)
Video 17.5 MB

Góreczny et al. supplementary material

Video S2

Download Góreczny et al. supplementary material(Video)
Video 14 MB
Supplementary material: Image

Góreczny et al. supplementary material

Figure S1

Download Góreczny et al. supplementary material(Image)
Image 247.9 KB