|
|
||||||||
Ann Thorac Surg 1996;61:336-339
© 1996 The Society of Thoracic Surgeons
Department of Cardiac Surgery, Harvard Medical School, and Children's Hospital, Boston, Massachusetts
Abstract
Background. Extracorporeal membrane oxygenation (ECMO) support for cardiac failure has been used in children since 1981 at the Children's Hospital in Pittsburgh. Most children required support after cardiac operations. Recently, however, a larger number of patients with decompensated cardiomyopathy or myocarditis have been supported with ECMO, which was used as a bridge to transplantation in most.
Methods. From 1981 to 1994, 68 children were placed on ECMO for cardiac support.
Results. The overall survival for the entire time period was 38%, with the more recent experience survival increased to 47%. In 14 children, ECMO was used as a bridge to transplantation, with 9 children receiving a heart transplant and 7 long-term survivors. Extracorporeal membrane oxygenation has also been used to resuscitate 11 children after sudden cardiac arrest, with a long-term survival of 53%.
Conclusions. We conclude that ECMO support for severe cardiac failure is effective. Patient selection and the use of heart transplantation for intractable heart failure have improved the overall survival.
This article has been cited by other articles:
![]() |
M. J. Wolf, K. R. Kanter, P. M. Kirshbom, B. E. Kogon, and S. F. Wagoner Extracorporeal Cardiopulmonary Resuscitation for Pediatric Cardiac Patients Ann. Thorac. Surg., September 1, 2012; 94(3): 874 - 880. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Fouilloux, L. Lebrun, L. Mace, and B. Kreitmann Extracorporeal Membranous Oxygenation and Left Atrial Decompression: A Fast and Minimally Invasive Approach Ann. Thorac. Surg., June 1, 2011; 91(6): 1996 - 1997. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. E. Kleinman, A. R. de Caen, L. Chameides, D. L. Atkins, R. A. Berg, M. D. Berg, F. Bhanji, D. Biarent, R. Bingham, A. H. Coovadia, et al. Pediatric Basic and Advanced Life Support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Pediatrics, November 1, 2010; 126(5): e1261 - e1318. [Full Text] [PDF] |
||||
![]() |
M. E. Kleinman, L. Chameides, S. M. Schexnayder, R. A. Samson, M. F. Hazinski, D. L. Atkins, M. D. Berg, A. R. de Caen, E. L. Fink, E. B. Freid, et al. Pediatric Advanced Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Pediatrics, November 1, 2010; 126(5): e1361 - e1399. [Full Text] [PDF] |
||||
![]() |
M. E. Kleinman, A. R. de Caen, L. Chameides, D. L. Atkins, R. A. Berg, M. D. Berg, F. Bhanji, D. Biarent, R. Bingham, A. H. Coovadia, et al. Part 10: Pediatric Basic and Advanced Life Support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Circulation, October 19, 2010; 122(16_suppl_2): S466 - S515. [Full Text] [PDF] |
||||
![]() |
A. Loforte, E. M. Delmo Walter, B. Stiller, M. Huebler, V. Alexi-Meskishvili, W. Boettcher, F. Berger, and R. Hetzer Extracorporeal membrane oxygenation for intraoperative cardiac support in children with congenital heart disease Interact CardioVasc Thorac Surg, May 1, 2010; 10(5): 753 - 758. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Tajik and M. G. Cardarelli Extracorporeal membrane oxygenation after cardiac arrest in children: what do we know? Eur J Cardiothorac Surg, March 1, 2008; 33(3): 409 - 417. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. R. Thiagarajan, P. C. Laussen, P. T. Rycus, R. H. Bartlett, and S. L. Bratton Extracorporeal Membrane Oxygenation to Aid Cardiopulmonary Resuscitation in Infants and Children Circulation, October 9, 2007; 116(15): 1693 - 1700. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. H. Thourani, P. M. Kirshbom, K. R. Kanter, J. Simsic, B. E. Kogon, S. Wagoner, F. Dykes, J. Fortenberry, and J. M. Forbess Venoarterial Extracorporeal Membrane Oxygenation (VA-ECMO) in Pediatric Cardiac Support Ann. Thorac. Surg., July 1, 2006; 82(1): 138 - 145. [Abstract] [Full Text] [PDF] |
||||
![]() |
null The International Liaison Committee on Resuscitati The International Liaison Committee on Resuscitation (ILCOR) Consensus on Science With Treatment Recommendations for Pediatric and Neonatal Patients: Pediatric Basic and Advanced Life Support Pediatrics, May 1, 2006; 117(5): e955 - e977. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Alsoufi, I. Shen, T. Karamlou, C. Giacomuzzi, G. Burch, M. Silberbach, and R. Ungerleider Extracorporeal Life Support in Neonates, Infants, and Children After Repair of Congenital Heart Disease: Modern Era Results in a Single Institution Ann. Thorac. Surg., July 1, 2005; 80(1): 15 - 21. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. T. Mahle, J. M. Forbess, P. M. Kirshbom, A. R. Cuadrado, J. M. Simsic, and K. R. Kanter Cost-utility analysis of salvage cardiac extracorporeal membrane oxygenation in children J. Thorac. Cardiovasc. Surg., May 1, 2005; 129(5): 1084 - 1090. [Abstract] [Full Text] [PDF] |
||||
![]() |
R R Chaturvedi, D Macrae, K L Brown, M Schindler, E C Smith, K B Davis, G Cohen, V Tsang, M Elliott, M de Leval, et al. Cardiac ECMO for biventricular hearts after paediatric open heart surgery Heart, May 1, 2004; 90(5): 545 - 551. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. N. Fenton, S. A. Webber, D. A. Danford, S. K. Gandhi, J. Periera, and F. A. Pigula Long-term survival after pediatric cardiac transplantation and postoperative ECMO support Ann. Thorac. Surg., September 1, 2003; 76(3): 843 - 847. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. B Zwischenberger and S. K Alpard Artificial lungs: a new inspiration Perfusion, July 1, 2002; 17(4): 253 - 268. [Abstract] [PDF] |
||||
![]() |
C. Schlensak, T. Doenst, S. Preu{beta}er, M. Wunderlich, M. Kleinschmidt, and F. Beyersdorf Cardiopulmonary bypass reduction of bronchial blood flow: A potential mechanism for lung injury in a neonatal pig model J. Thorac. Cardiovasc. Surg., June 1, 2002; 123(6): 1199 - 1205. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. S. Aharon, D. C. Drinkwater Jr, K. B. Churchwell, S. V. Quisling, V. S. Reddy, M. Taylor, S. Hix, K. G. Christian, J. B. Pietsch, J. K. Deshpande, et al. Extracorporeal membrane oxygenation in children after repair of congenital cardiac lesions Ann. Thorac. Surg., December 1, 2001; 72(6): 2095 - 2102. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. M. Darling, D. Kaemmer, D. S. Lawson, J. J. Jaggers, and R. M. Ungerleider Use of ECMO without the oxygenator to provide ventricular support after Norwood Stage I procedures Ann. Thorac. Surg., February 1, 2001; 71(2): 735 - 736. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. P. Jacobs, J. W. Ojito, T. W. McConaghey, B. D. Boden, A. C. Chang, A. Aldousany, E. M. Zahn, and R. P. Burke Rapid cardiopulmonary support for children with complex congenital heart disease Ann. Thorac. Surg., September 1, 2000; 70(3): 742 - 750. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Hetzer, M. Loebe, E. V. Potapov, Y. Weng, B. Stiller, E. Hennig, V. Alexi-Meskishvili, and P. E. Lange Circulatory support with pneumatic paracorporeal ventricular assist device in infants and children Ann. Thorac. Surg., November 1, 1998; 66(5): 1498 - 1506. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. M. Langley, S. V. Sheppard, V. T. Tsang, J. L. Monro, and R. K. Lamb When is extracorporeal life support worthwhile following repair of congenital heart disease in children? Eur J Cardiothorac Surg, May 1, 1998; 13(5): 520 - 525. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. A. Thuys, R. J. Mullaly, S. B. Horton, E. B. O'Connor, A. D. Cochrane, C. P. R. Brizard, and T. R. Karl Centrifugal ventricular assist in children under 6 kg Eur J Cardiothorac Surg, February 1, 1998; 13(2): 130 - 134. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Shum-Tim, B. W. Duncan, V. Hraska, I. Friehs, T. Shin'oka, and R. A. Jonas Evaluation of a Pulsatile Pediatric Ventricular Assist Device in an Acute Right Heart Failure Model Ann. Thorac. Surg., November 1, 1997; 64(5): 1374 - 1380. [Abstract] [Full Text] |
||||
![]() |
W. Konertz, H. Hotz, M. Schneider, M. Redlin, and H. Reul Clinical Experience With the MEDOS HIA-VAD System in Infants and Children: A Preliminary Report Ann. Thorac. Surg., April 1, 1997; 63(4): 1138 - 1144. [Abstract] [Full Text] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |