Access the full text.
Sign up today, get DeepDyve free for 14 days.
Y. Guner, R. Khemani, F. Qureshi, C. Wee, M. Austin, F. Dorey, P. Rycus, H. Ford, P. Friedlich, J. Stein (2009)
Outcome analysis of neonates with congenital diaphragmatic hernia treated with venovenous vs venoarterial extracorporeal membrane oxygenation.Journal of pediatric surgery, 44 9
R. Delius, H. Anderson,, R. Schumacher, M. Shapiro, T. Otsu, K. Toft, J. Hirsch, R. Bartlett (1993)
Venovenous compares favorably with venoarterial access for extracorporeal membrane oxygenation in neonatal respiratory failure.The Journal of thoracic and cardiovascular surgery, 106 2
S. Keckler, C. Laituri, D. Ostlie, S. Peter (2009)
A Review of Venovenous and Venoarterial Extracorporeal Membrane Oxygenation in Neonates and ChildrenEuropean Journal of Pediatric Surgery, 20
R. Bartlett, A. Gazzaniga, R. Huxtable, H. Schippers, M. O'Connor, M. Jefferies (1977)
Extracorporeal circulation (ECMO) in neonatal respiratory failure.The Journal of thoracic and cardiovascular surgery, 74 6
D. Berdajs (2015)
Bicaval dual-lumen cannula for venovenous extracorporeal membrane oxygenation: Avalon© cannula in childhood diseasePerfusion, 30
A. Kugelman, E. Gangitano, R. Taschuk, R. Garza, A. Riskin, C. McEvoy, M. Durand (2005)
Extracorporeal membrane oxygenation in infants with meconium aspiration syndrome: a decade of experience with venovenous ECMO.Journal of pediatric surgery, 40 7
R. Pettignano, J. Fortenberry, M. Heard, Michele Labuz, K. Kesser, April Tanner, S. Wagoner, Judith Heggen (2003)
Primary use of the venovenous approach for extracorporeal membrane oxygenation in pediatric acute respiratory failure*Pediatric Critical Care Medicine, 4
B. Short, L. Walker, R. Traystman (1994)
Impaired cerebral autoregulation in the newborn lamb during recovery from severe, prolonged hypoxia, combined with carotid artery and jugular vein ligationCritical Care Medicine, 22
I. Zamora, L. Shekerdemian, Sara Fallon, O. Olutoye, D. Cass, P. Rycus, Cole Burgman, Timothy Lee (2014)
Outcomes comparing dual-lumen to multisite venovenous ECMO in the pediatric population: the Extracorporeal Life Support Registry experience.Journal of pediatric surgery, 49 10
Sara Fallon, L. Shekerdemian, O. Olutoye, D. Cass, I. Zamora, Trung Nguyen, Eugene Kim, Emily Larimer, Timothy Lee (2013)
Initial Experience With Single-Vessel Cannulation for Venovenous Extracorporeal Membrane Oxygenation in Pediatric Respiratory Failure*Pediatric Critical Care Medicine, 14
T. Baffes, J. Fridman, J. Bicoff, J. Whitehill (1970)
Extracorporeal circulation for support of palliative cardiac surgery in infants.The Annals of thoracic surgery, 10 4
AF Andrews (1982)
350Trans Am Soc Artif Intern Organs, 28
Ma Ingyinn, K. Rais-Bahrami, Mohan Viswanathan, B. Short (2006)
Altered cerebrovascular responses after exposure to venoarterial extracorporeal membrane oxygenation: Role of the nitric oxide pathwayPediatric Critical Care Medicine, 7
M. Klein, A. Andrews, J. Wesley, J. Toomasian, Cynthia Nixon, D. Roloff, R. Bartlett (1985)
Venovenous Perfusion in ECMO for Newborn Respiratory Insufficiency: A Clinical Comparison with Venoarterial PerfusionAnnals of Surgery, 201
K. Rais-Bahrami, K. Meurs (2014)
Venoarterial versus venovenous ECMO for neonatal respiratory failure.Seminars in perinatology, 38 2
David Tulman, S. Stawicki, B. Whitson, Saarik Gupta, Ravi Tripathi, M. Firstenberg, D. Hayes, Xuzhong Xu, T. Papadimos (2014)
Veno-venous ECMO: a synopsis of nine key potential challenges, considerations, and controversiesBMC Anesthesiology, 14
R. Cilley, J. Zwischenberger, A. Andrews, R. Bowerman, D. Roloff, R. Bartlett (1986)
Intracranial hemorrhage during extracorporeal membrane oxygenation in neonates.Pediatrics, 78 4
G. Knight, G. Dudell, M. Evans, P. Grimm (1996)
A comparison of venovenous and venoarterial extracorporeal membrane oxygenation in the treatment of neonatal respiratory failure.Critical care medicine, 24 10
H. Anderson,, S. Snedecor, Tetsuro Otsu, R. Bartlett (1993)
Multicenter comparison of conventional venoarterial access versus venovenous double-lumen catheter access in newborn infants undergoing extracorporeal membrane oxygenation.Journal of pediatric surgery, 28 4
A. Andrews, J. Toomasian, A. Oram, R. Bartlett (1982)
Total respiratory support with venovenous (VV) ECMO.Transactions - American Society for Artificial Internal Organs, 28
Background Advances 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. Methods A retrospective cohort study from 01/2005 to 07/2016 was performed, comparing by cannulation mode. Survival to discharge, complications, and decannulation analyses were performed. Results In 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 complica- tions (p = 0.40) or re-operations (p = 0.85) between the VV and VA groups. Conclusion Dual-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
Pediatric Surgery International – Springer Journals
Published: Jan 18, 2018
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.