 |
|
Carotid Artery Reconstruction Following Extracorporeal Membrane Oxygenation
Timothy M. Crombleholme, MD;
N. Scott Adzick, MD;
Alfred A. deLorimier, MD;
Michael T. Longaker, MD;
Michael R. Harrison, MD;
Valerie E. Charlton, MD
Am J Dis Child. 1990;144(8):872-874.
Abstract
• Right hemispheric brain injury has been noted in surviving infants treated with venoarterial extracorporeal membrane oxygenation (ECMO). This phenomenon may be secondary to permanent ligation of the right carotid artery. At our institution, conventional ventilatory therapy failed in five neonates with respiratory insufficiency, and they were treated successfully with ECMO. In four of the five neonates, the right carotid artery was reconstructed at the time of decannulation. At discharge, all newborns with carotid artery repair showed no signs of unilateral brain injury and had excellent antegrade flow in the right carotid artery as assessed by both duplex and transcranial Doppler ultrasound scanning. Carotid artery reconstruction after ECMO is a technically simple procedure that may reduce the incidence of right hemispheric brain injury and long-term consequences of marginal cerebral perfusion.
(AJDC. 1990;144:872-874)
Author Affiliations
From the Departments of Surgery (Drs Crombleholme, Adzick, deLorimier, Longaker, and Harrison) and Pediatrics (Dr Charlton), University of California, San Francisco.
Footnotes
Accepted for publication February 12, 1990.
Reprint requests to Department of Surgery, Third and Parnassus avenues, HSE 585, San Francisco, CA 94143-0570 (Dr Adzick).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Complications of neonatal extracorporeal membrane oxygenation
Upp et al.
Perfusion 1994;9:241-256.
Complications of neonatal extracorporeal membrane oxygenationCollective experience from the Extracorporeal Life Support Organization
Zwischenberger et al.
J. Thorac. Cardiovasc. Surg. 1994;107:838-849.
ABSTRACT
| FULL TEXT
|
