From the Department of Cardiothoracic Surgery, The Heart Center, Nationwide Children's Hospital, Columbus, OH.
Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH.
ASAIO J. 2023 Dec 1;69(12):e526-e530. doi: 10.1097/MAT.0000000000002004. Epub 2023 Sep 6.
The Crescent dual lumen right atrial (RA) cannula has recently been introduced for the support of pediatric patients in need of venovenous extracorporeal membrane oxygenation (VV ECMO) support. We present the first pediatric case series illustrating utility of the Crescent RA cannula in the pediatric patient population at a single institution over a 10 month period. From December 2021 to August 2022, six pediatric patients were adequately supported on seven VV ECMO runs at our institution with the Crescent RA cannula. ECMO cannulation, circuit design, anticoagulation management, ECMO circuit pressures, flow rates, and recirculation were similar to our standard of care for VV ECMO. The Crescent RA cannula can be used safely and effectively to provide adequate support for pediatric patients requiring VV ECMO.
新月形双腔右心房（RA）插管最近被引入，用于支持需要静脉-静脉体外膜肺氧合（VV ECMO）支持的儿科患者。我们介绍了首例儿科病例系列，在一个机构的 10 个月期间，说明了新月形 RA 插管在儿科患者人群中的应用。从 2021 年 12 月至 2022 年 8 月，在我们的机构中，六名儿科患者在七次 VV ECMO 运行中使用新月形 RA 插管得到了充分的支持。ECMO 插管、回路设计、抗凝管理、ECMO 回路压力、流量和再循环与我们的 VV ECMO 标准护理相似。新月形 RA 插管可安全有效地用于为需要 VV ECMO 的儿科患者提供充分支持。
