体外膜肺氧合支持下小儿冠状动脉造影的血管通路
Vascular access for pediatric coronary angiography on extracorporeal membrane oxygenation.
作者信息
Thuys Clarke, MacLaren Graeme, d'Udekem Yves, Eastaugh Lucas
机构信息
Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia
Pediatric Intensive Care Unit, Royal Children's Hospital, Melbourne, Australia Cardiothoracic Intensive Care, National University Hospital, Singapore Department of Pediatrics, University of Melbourne, Melbourne, Australia.
出版信息
World J Pediatr Congenit Heart Surg. 2015 Jan;6(1):126-9. doi: 10.1177/2150135114554303.
Vascular access for catheterization of a pediatric patient on extracorporeal membrane oxygenation (ECMO) was facilitated by adding an accessory limb to the ECMO circuit. This limb was terminated with a hemostatic valve allowing insertion of a catheter. Changes in support parameters compensated for the change in the effective diameter of the ECMO cannula on insertion of the catheter. This method can overcome difficulties in obtaining vascular access for patients on ECMO.
通过在体外膜肺氧合（ECMO）回路中增加一个辅助分支，便于对接受ECMO治疗的儿科患者进行导管插入术的血管通路建立。该分支末端配有一个止血阀，允许插入导管。在插入导管时，通过改变支持参数来补偿ECMO插管有效直径的变化。这种方法可以克服为接受ECMO治疗的患者建立血管通路时遇到的困难。
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