| Venous thrombosis in and after extracorporeal membrane oxygenation: detection and follow-up by color Doppler sonography. | |
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MedLine Citation:
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PMID: 9369503 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of our study was to evaluate thrombosis of venous vessels during and after extracorporeal membrane oxygenation (ECMO) using color Doppler sonography. We prospectively performed serial color Doppler sonography investigations in 30 ECMO patients [age: newborn to 3 years, male:female = 20:10, venoarterial (VA) ECMO = 18, venovenous (VV) ECMO = 12]. During ECMO obstruction and/or thrombosis of the superior vena cava (SVC) was observed in 2 neonates on VA ECMO. Furthermore, a thrombotic clot from an initially open duct of Arantii with partial portal vein thrombosis, reaching into the inferior vena cava (IVC), occurred despite adequate heparinization. After ECMO, late septic SVC thrombus occurred in one neonate. IVC thrombus was observed in two pediatric VV ECMO patients. The overall incidence of venous clots was 20 % (6 of 30). Routine color Doppler sonography monitoring of vessels in children on and after ECMO was found to be useful for early detection of venous thrombosis. It enabled consequent administration of appropriate therapy as well as follow-up after decannulation and reconstruction. |
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Authors:
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M Riccabona; M Kuttnig-Haim; D Dacar; B Urlesberger; F Reiterer; U Maurer; G Zobel |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European radiology Volume: 7 ISSN: 0938-7994 ISO Abbreviation: Eur Radiol Publication Date: 1997 |
Date Detail:
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Created Date: 1998-01-21 Completed Date: 1998-01-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: GERMANY |
Other Details:
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Languages: eng Pagination: 1383-6 Citation Subset: IM |
Affiliation:
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Department of Pediatric Radiology, University Hospital, LKH Graz, Auenbruggerplatz, A-8036 Graz, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child, Preschool Extracorporeal Membrane Oxygenation / adverse effects* Female Humans Infant Infant, Newborn Male Prospective Studies Thrombosis / etiology, ultrasonography* Ultrasonography, Doppler, Color* Vena Cava, Superior* / ultrasonography |
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