Accessing extracorporeal membrane oxygenation circuits to perform emergent interventional cardiac catheterisation

Sebastian Góreczny, Daniel McLennan, Gareth J Morgan
Cardiology in the Young 2019, 29 (10): 1290-1293
Cardiac catheterisation in patients on extracorporeal membrane oxygenation (ECMO) may reveal new information leading to modification of a therapeutic plan and correction of newly recognised or residual lesions. Complications associated with cardiac catheterisation during ECMO are not uncommon and often related to the access site. We report a straightforward technique for accessing the ECMO circuit to perform an emergent cardiac catheterisation in two patients with hypoplastic left heart syndrome decompensated after Norwood I, due to presumed systemic-to-pulmonary artery shunt obstruction.

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