Bridging with Veno-Arterial Extracorporeal Membrane Oxygenation in Children: A 10-Year Single-Center Experience

Amodeo A, Stojanovic M, Dave H, Cesnjevar R, Konetzka A, Erdil T, Kretschmar O, Schweiger M (2022)

Publication Type: Journal article

Publication year: 2022

Journal

Life MDPI

Book Volume: 12

Article Number: 1398

Journal Issue: 9

DOI: 10.3390/life12091398

Abstract

Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is frequently used in children with and without congenital heart disease (CHD). This study, of a single-center and retrospective design, evaluated the use and timing of V-A ECMO in a pediatric cohort who underwent V-A ECMO implantation between January 2009 and December 2019. The patients were divided into a pre-/non-surgical group and a post-surgical group. Among the investigated variables were age, gender, weight, duration of ECMO, ECMO indication, and ventricular physiology, with only the latter being statistically relevant between the two groups. A total of 111 children (58 male/53 female), with a median age of 87 days (IQR: 7–623) were supported using V-A ECMO. The pre-/non-surgical group consisted of 59 patients and the post-surgical group of 52 patients. Survival at discharge was 49% for the pre-/non-surgical group and 21% for the surgical group (p = 0.04). Single-ventricle physiology was significant for a worse outcome (p = 0.0193). Heart anatomy still has the biggest role in the outcomes of children on ECMO. Nevertheless, children with CHD can be successfully bridged with ECMO to cardiac operation.

Involved external institutions

Universitäts-Kinderspital Zürich CH Switzerland (CH)

How to cite

APA:

Amodeo, A., Stojanovic, M., Dave, H., Cesnjevar, R., Konetzka, A., Erdil, T.,... Schweiger, M. (2022). Bridging with Veno-Arterial Extracorporeal Membrane Oxygenation in Children: A 10-Year Single-Center Experience. Life, 12(9). https://doi.org/10.3390/life12091398

MLA:

Amodeo, Antonio, et al. "Bridging with Veno-Arterial Extracorporeal Membrane Oxygenation in Children: A 10-Year Single-Center Experience." Life 12.9 (2022).

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