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Cardiol Young. 2019 Oct;29(10):1290-1293. doi: 10.1017/S1047951119001446.

Accessing extracorporeal membrane oxygenation circuits to perform emergent interventional cardiac catheterisation.

Author information

1
Department of Cardiology, Colorado Children's Hospital, University of Colorado Hospital, Denver, CO, USA.
2
Department of Cardiology, Polish Mother's Memorial Hospital, Research Institute, Lodz, Poland.
3
Department of Adult Congenital Cardiology, University of Colorado Hospital, Denver, CO, USA.

Abstract

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.

KEYWORDS:

Extracorporeal membrane oxygenation; cardiac catheterisation; congenital heart disease; transcatheter interventions

PMID:
31511102
DOI:
10.1017/S1047951119001446

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