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Accessing extracorporeal membrane oxygenation circuits to perform emergent interventional cardiac catheterisation

  • Sebastian Góreczny (a1) (a2), Daniel McLennan (a1) and Gareth J. Morgan (a1) (a3)

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.

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Corresponding author

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: gareth.morgan@childrenscolorado.org

References

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2. 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: 317325.
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6. 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: 12641269.
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Accessing extracorporeal membrane oxygenation circuits to perform emergent interventional cardiac catheterisation

  • Sebastian Góreczny (a1) (a2), Daniel McLennan (a1) and Gareth J. Morgan (a1) (a3)

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