Document Detail


Left Atrial Decompression During Venoarterial Extracorporeal Membrane Oxygenation for Left Ventricular Failure in Children: Current Strategy and Clinical Outcomes.
MedLine Citation:
PMID:  23020884     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Yasuhiro Kotani; Devin Chetan; Warren Rodrigues; V Ben Sivarajan; Colleen Gruenwald; Anne-Marie Guerguerian; Glen S Van Arsdell; Osami Honjo
Related Documents :
24569834 - Mir-29b as a therapeutic agent for angiotensin ii-induced cardiac fibrosis by targeting...
24701094 - Crisscross heart with dextrocardia and intact interventricular septum.
20599164 - Impact of thrombus aspiration use and direct stenting on final myocardial blush score i...
23264034 - Alteration of plasma trace elements in patients undergoing open heart surgery.
10937954 - Neurohormonal reactivation in heart failure patients on chronic ace inhibitor therapy: ...
19219394 - Prognostic value of heart rate variability and ventricular arrhythmias during 13-year f...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-30
Journal Detail:
Title:  Artificial organs     Volume:  -     ISSN:  1525-1594     ISO Abbreviation:  Artif Organs     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-10-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012, Copyright the Authors. Artificial Organs © 2012, International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.
Affiliation:
Divisions of Cardiovascular Surgery Critical Care Medicine Cardiovascular Perfusion The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Systemic and topical drugs for the prevention of HIV infection: antiretroviral pre-exposure prophyla...
Next Document:  Assessing fitness-to-practice of overseas-trained health practitioners by Australian registration & ...