Document Detail

Patency of internal jugular vein following repair after ECMO stabilization prior to Berlin Heart implantation: utility of repaired vein for subsequent cardiac catheterization and biopsy.
MedLine Citation:
PMID:  19037981     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objective of this study was to examine the patency and utility for subsequent vascular access of the internal jugular vein following use in short-term extracorporeal membrane oxygenation. DESIGN: Retrospective review. SETTING: Pediatric cardiac intensive care unit, pediatric cardiac catheterization laboratory, and pediatric cardiac clinic. PATIENTS: Four children, ages 7-178 months, requiring mechanical circulatory support. Interventions. Extracorporeal membrane oxygenation support, internal jugular vein repair, Berlin Heart mechanical circulatory support, heart transplantation, cardiac catheterization. OUTCOME MEASURES: Following surgical repair, the internal jugular vein was studied with bedside ultrasound for assessment of patency. When appropriate, subsequent vascular access of the vessel was attempted and the success was reported. RESULTS: Follow-up ultrasound examination demonstrated vessel patency in all cases. In patients requiring subsequent catheterization (3/4), successful vessel entry and catheterization were performed. CONCLUSIONS: Repair of the internal jugular vein following use for short-term extracorporeal membrane oxygenation support can be accomplished with success. The vessel can be used for subsequent vascular access when necessary.
Frank Bennett Pearce; James K Kirklin; Christopher J Knott-Craig; William L Holman; Douglas H Barnhart; William S McMahon; Leslie W Hayes; Santiago Borasino
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Congenital heart disease     Volume:  3     ISSN:  1747-0803     ISO Abbreviation:  -     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-11-28     Completed Date:  2009-02-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256510     Medline TA:  Congenit Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  411-4     Citation Subset:  IM    
Division of Pediatric Cardiology, University of Alabama, School of Medicine, Birmingham, AL, USA.
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MeSH Terms
Child, Preschool
Extracorporeal Membrane Oxygenation*
Heart Catheterization*
Heart Failure / physiopathology,  surgery*,  ultrasonography
Heart Transplantation*
Heart-Assist Devices*
Jugular Veins / physiopathology,  surgery*,  ultrasonography
Retrospective Studies
Time Factors
Treatment Outcome
Vascular Patency*
Vascular Surgical Procedures*

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

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