Initial experiences with a centrifugal-pump based minimal invasive extracorporeal circulation system in pediatric congenital cardiac surgery

• DOI: 10.21037/jtd.2019.01.95
• Publication Date: 2019-06-18T09:24:08Z
• Authors: Alexander Kadner; Paul Philipp Hein...; Maris Bartkevics; Serena Wyss; Hans-Joerg Jenni; Gabor Erdoes; Balthasar Eberle; Thierry Carrel
• Keywords: Extracorporeal circulation; Extracorporeal

Minimal invasive extracorporeal circulation (MiECC) circuits are an established alternative to conventional (CECC). Based on the positive effects and improved perioperative outcomes of MiECC in adult cardiac surgery, this perfusion concept appears particularly attractive pediatric surgery. So far, there no reports clinical application a system for corrective surgery neonates children. We report our initial experiences by using surgery.A total 38 patients underwent surgical interventions variety congenital heart disease from March 2017 until August 2018 with MiECC. Following classification Extra-Corporeal Technologies International Society (MiECTIS), type I III were assembled depending planned intervention: closed open procedures. Primary outcome was conversion CECC, secondary endpoints included major adverse or cerebrovascular events (MACCE).MiECC successfully performed all (100%). Median patient age 9.5 months (range, 0.2-176 months) median weight 8.1 kg 2.3-49 kg). For both types related technical complications encountered. Beating procedures 23 cases (60%) at normothermia, while 15 (40%) cardioplegic arrest induced mild hypothermia. All had uneventful course in-hospital mortality. MACCE did not occur during hospitalization period.MiECC can be standard techniques correction malformations children good results postoperative course.