Extracorporeal Life Support After Cardiac Surgery in Children: Outcomes From a Single Institution

• DOI: 10.1111/aor.12191
• Publication Date: 2013-10-14T08:16:37Z
• Authors: Takashi Sasaki; Toshihide Asou; Yuko Takeda; Yasuko Onakatomi; Takashi Tominaga; Yusuke Yamamoto
• Keywords: Life support; Extracorporeal; Extracorporeal circulation

Abstract Extracorporeal life support ( ECLS ) is used after congenital heart surgery for several indications, including failure to separate from cardiopulmonary bypass, postoperative low cardiac output syndrome, and extracorporeal resuscitation. Here, we assessed the outcomes of in children at our institution. Medical records all who required institution were reviewed. Between 2003 2011, 36 (1.4%) 2541 pediatric surgical cases . Median age patients was 64 days (range: 0 days–4.1 years). form either membrane oxygenation ECMO ; n = 24) or ventricular assist system VAS 12). Mean duration 4.9 ± 4.2 days. Overall, 21 (58%) weaned off , 17 (47%) successfully discharged hospital. Patients with biventricular BVH had higher survival‐to‐hospital discharge rates compared those univentricular UVH P 0.019). Regarding type, received showed device discontinuation than 0.012). However, hospital not significantly different between Surgical interventions, such as banding B lalock– T aussig shunt reduce pulmonary blood flow placing bidirectional cavopulmonary minimize volume overload, effective weaning beneficial surgery. Rates patients. Additional interventions load may be discontinuing