Utility of cardiac catheterization in pediatric cardiac patients on ECMO

Cardiac catheterization has been utilized rarely in children on extracorporeal membrane oxygenation (ECMO). We performed a retrospective review of 15 children with congenital heart disease who had undergone catheterization while on ECMO from December 1990–December 1995. The procedures, including fou...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 1999-01, Vol.46 (1), p.62-67
Main Authors: desJardins, Susan E., Crowley, Dennis C., Beekman, Robert H., Lloyd, Thomas R.
Format: Article
Language:English
Subjects:
Cardiac Catheterization
Child, Preschool
congenital heart disease
Extracorporeal Membrane Oxygenation
Heart Defects, Congenital - mortality
Heart Defects, Congenital - therapy
Humans
Infant
Infant, Newborn
Retrospective Studies
Survival Analysis
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Summary:Cardiac catheterization has been utilized rarely in children on extracorporeal membrane oxygenation (ECMO). We performed a retrospective review of 15 children with congenital heart disease who had undergone catheterization while on ECMO from December 1990–December 1995. The procedures, including four interventions, were successful in all patients with adequate evaluation of clinical questions. Unexpected diagnostic information of clinical importance was obtained in 40%, and clinical management of patients was significantly altered in 73%. All patients tolerated the procedure and transport well. The only significant complication was a retroperitoneal hemorrhage in one patient after approximately 12 hr. Although no patients died at catheterization, overall survival was poor, with 50% weaning from ECMO, 29% surviving to discharge, and 14% surviving at follow‐up. We conclude that diagnostic and interventional catheterization may be performed in patients on ECMO with acceptable morbidity and mortality; however, long‐term survival in this population is poor. Cathet. Cardiovasc. Intervent. 46:62–67, 1999. © 1999 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/(SICI)1522-726X(199901)46:1<62::AID-CCD17>3.0.CO;2-9