| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2000;70:742-750
© 2000 The Society of Thoracic Surgeons
a Divisions of Cardiovascular Surgery and Cardiology, Miami Children’s Hospital, Miami, USA
b Division of Thoracic and Cardiovascular Surgery, All Children’s Hospital, University of South Florida College of Medicine, St. Petersburg, Florida, USA
Address reprint requests to Dr Jacobs, Division of Thoracic and Cardiovascular Surgery, All Children’s Hospital, 603 Seventh St S, Suite 450, St. Petersburg, FL 33701
e-mail: jjacobs1{at}compuserve.com
Background. Extracorporeal membrane oxygenation has limitations in children with congenital heart disease (prolonged setup times, increased postoperative blood loss, and difficulty during transport). We developed a miniaturized cardiopulmonary support circuit to address these limitations.
Patients and Methods. The cardiopulmonary support system includes a preassembled, completely heparin-coated circuit, a BP-50 Bio-Medicus centrifugal pump, a Minimax plus membrane oxygenator, a Bio-Medicus flow probe, and a Bio-trend hematocrit/oxygen saturation monitor. Short tubing length permits a 250-mL bloodless prime in less than 5 minutes. From 1995 to 1997, 23 children with congenital heart disease were supported with this technique.
Results. Overall survival to discharge was 48% (11 of 23 patients). Survival to discharge was 80% (4 of 5) in the preoperative support group, 20% (1 of 5) in the postoperative failure to wean from cardiopulmonary bypass group, 44% (4 of 9) in the group placed on support postoperatively after transfer to the intensive care unit, and 50% (2 of 4 patients) in the nonoperative group. Neonatal cardiopulmonary support survival to discharge was 46% (6 of 13 patients).
Conclusions. This pediatric cardiopulmonary support system is safe and effective. Advantages over conventional extracorporeal membrane oxygenation include rapid setup time, decreased postoperative blood loss, and simplified transport.
This article has been cited by other articles:
|
|
 |
|
  D Picarelli, C. Kreutzer, M Barboza, S Antunez, G Pose, G Touya, L Liguera, D Abdala, and G Echegaray Post-cardiotomy circulatory support with the Terumo Baby - Rx tm oxygenator in a newborn Perfusion, November 1, 2007; 22(6): 377 - 379. [Abstract] [PDF]
|
|
|
|
 |
|
 B. Alsoufi, O. O. Al-Radi, R. I. Nazer, C. Gruenwald, C. Foreman, W. G. Williams, J. G. Coles, C. A. Caldarone, D. G. Bohn, and G. S. Van Arsdell Survival outcomes after rescue extracorporeal cardiopulmonary resuscitation in pediatric patients with refractory cardiac arrest. J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 952 - 959.e2. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. L. Hannan, J. W. Ojito, M. A. Ybarra, M. C. O'Brien, A. F. Rossi, and R. P. Burke Rapid Cardiopulmonary Support in Children With Heart Disease: A Nine-Year Experience Ann. Thorac. Surg., November 1, 2006; 82(5): 1637 - 1641. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E-T Wu, S-C Huang, Y-S Chen, J-K Wang, M-H Wu, and W-J Ko Children with fulminant myocarditis rescued with extracorporeal membrane oxygenation. Heart, September 1, 2006; 92(9): 1325 - 1326. [Full Text] [PDF]
|
|
|
|
|
|
K. Sung, Y. T. Lee, P. W. Park, K.-H. Park, T.-G. Jun, J.-H. Yang, and Y.-K. Ha Improved Survival After Cardiac Arrest Using Emergent Autopriming Percutaneous Cardiopulmonary Support Ann. Thorac. Surg., August 1, 2006; 82(2): 651 - 656. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.-C. Huang, E.-T. Wu, W.-J. Ko, L.-P. Lai, J. Hsu, C.-I. Chang, I.-S. Chiu, S.-S. Wang, M.-H. Wu, F.-Y. Lin, et al. Clinical Implication of Blood Levels of B-Type Natriuretic Peptide in Pediatric Patients on Mechanical Circulatory Support Ann. Thorac. Surg., June 1, 2006; 81(6): 2267 - 2272. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. L. Hannan, M. A. Ybarra, J. A. White, J. W. Ojito, A. F. Rossi, and R. P. Burke Patterns of Lactate Values after Congenital Heart Surgery and Timing of Cardiopulmonary Support Ann. Thorac. Surg., October 1, 2005; 80(4): 1468 - 1474. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. W. Duncan INVITED COMMENTARY Ann. Thorac. Surg., January 1, 2005; 79(1): 183 - 184. [Full Text] [PDF]
|
|
|
|
 |
|
 L. Lequier Extracorporeal Life Support in Pediatric and Neonatal Critical Care: A Review J Intensive Care Med, September 1, 2004; 19(5): 243 - 258. [Abstract] [PDF]
|
|
|
|
 |
|
 G. Chow, B. Koirala, D. Armstrong, B. McCrindle, D. Bohn, D. Edgell, J. Coles, and G. de Veber Predictors of mortality and neurological morbidity in children undergoing extracorporeal life support for cardiac disease Eur. J. Cardiothorac. Surg., July 1, 2004; 26(1): 38 - 43. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. W. Duncan Invited commentary Ann. Thorac. Surg., November 1, 2003; 76(5): 1441 - 1442. [Full Text] [PDF]
|
|
|
|
|
|
M. Kurusz and J. B Zwischenberger Percutaneous cardiopulmonary bypass for cardiac emergencies Perfusion, July 1, 2002; 17(4): 269 - 277. [Abstract] [PDF]
|
|
|
|
|
|
B. W. Duncan Mechanical circulatory support for infants and children with cardiac disease Ann. Thorac. Surg., May 1, 2002; 73(5): 1670 - 1677. [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]
|
|
| 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 |
