Use of ecmo for cardiogenic shock in pediatric population

Priya Bhaskar, Samuel Davila, Aparna Hoskote, Ravi Thiagarajan

Research output: Contribution to journalReview articlepeer-review

Abstract

In children with severe advanced heart failure where medical management has failed, mechanical circulatory support in the form of veno-arterial extracorporeal membrane oxygenation (VA ECMO) or ventricular assist device represents life-sustaining therapy. This review provides an overview of VA ECMO used for cardiovascular support including medical and surgical heart disease. Indications, contraindications, and outcomes of VA ECMO in the pediatric population are discussed.VA ECMO provides biventricular and respiratory support and can be deployed in rapid fashion to rescue patient with failing physiology. There have been advances in conduct and technologic aspects of VA ECMO, but survival outcomes have not improved. Stringent selection and optimal timing of deployment are critical to improve mortality and morbidity of the patients supported with VA ECMO.

Original languageEnglish (US)
Article number1573
JournalJournal of Clinical Medicine
Volume10
Issue number8
DOIs
StatePublished - Apr 2 2021

Keywords

  • Cardiogenic shock
  • Congenital
  • ECMO

ASJC Scopus subject areas

  • Medicine(all)

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