Department of Radiology, Division of Pediatric Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Department of Radiology, Division of Cardiovascular Radiology, Mayo Clinic, Rochester, MN, USA.
Pediatr Radiol. 2022 Sep;52(10):1877-1887. doi: 10.1007/s00247-022-05336-4. Epub 2022 Apr 2.
Chest CT in pediatric patients on extracorporeal membrane oxygenation (ECMO) can be done safely and provide valuable high-quality diagnostic images to help guide patient management. An understanding of the basics of the ECMO circuit, cannula locations, where and how to inject contrast media, and how to time image acquisition is vital for the radiologist. Additionally, understanding the precautions associated with performing these exams is essential to ensure the safety of the child. This article provides a brief review of pediatric ECMO and its challenges and considerations, as well as a stepwise approach to perform and optimize these exams safely.
体外膜肺氧合 (ECMO) 治疗的儿科患者的胸部 CT 检查可以安全进行，并提供有价值的高质量诊断图像，以帮助指导患者管理。了解 ECMO 回路的基础知识、插管位置、在哪里以及如何注射造影剂以及如何设置图像采集时间对于放射科医生至关重要。此外，了解进行这些检查的相关注意事项对于确保儿童的安全至关重要。本文简要回顾了儿科 ECMO 及其挑战和注意事项，以及安全进行和优化这些检查的分步方法。
