Left Atrial Decompression During Venoarterial Extracorporeal Membrane Oxygenation for Left Ventricular Failure in Children: Current Strategy and Clinical Outcomes. Issue 1 (30th September 2012)

• Record Type: Journal Article
• Authors: Kotani, Yasuhiro; Chetan, Devin; Rodrigues, Warren; Sivarajan, V. Ben; Gruenwald, Colleen; Guerguerian, Anne‐Marie; Van Arsdell, Glen S.; Honjo, Osami
• Is Part Of: Artificial organs. Volume 37:Issue 1(2013:Jan.)
• Page Start: 29
• Page End: 36
• Publication Date: 2012-09-30
• Subjects: Artificial organs -- Periodicals; 617.956
• DOI: 10.1111/j.1525-1594.2012.01534.x
• Languages: English
• ISSNs: 0160-564X

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <p>From 2005 to 2011, 23 of 178 (12.9%) patients with venoarterial (VA) extracorporeal membrane oxygenation (ECMO) had left atrial (LA) decompression to help improve left ventricular (LV) function, LA/LV dilatation, and/or lung edema. LA decompression was achieved with LA cannulation (n = 16), surgically created adjustable atrial septal defect (n = 3), or balloon atrial septostomy (n = 4). Sixteen (70%) patients had LA decompression at the time of ECMO initiation and all had LA decompression within 12 hours of ECMO initiation. ECMO duration was 5.9 ± 4.5 days and 16 (70%) patients were successfully decannulated. Subsequent intensive care unit and hospital survival was achieved in 13 (57%) and 12 (52%) patients, respectively. Earlier timing of LA decompression appeared to be associated with a high probability of weaning from ECMO and reasonable LV functional recovery.</p> </abstract>