Philip Ranjit R, Sentilles Claire, Johnson Jason N, Merlocco Anthony, Ramakrishnan Karthik, Ryan Kaitlin A, Boston Umar, Sathanandam Shyam
Division of Pediatric Cardiology, Department of Pediatrics, University of Tennessee Health Science Center, 50 N Dunlap St., Memphis, TN 38103, USA.
The Heart Institute, Le Bonheur Children's Hospital, 51 N Dunlap St., Memphis, TN 38103, USA.
J Clin Med. 2024 Apr 9;13(8):2168. doi: 10.3390/jcm13082168.
Multi-system inflammatory syndrome in children (MIS-C) in the setting of COVID-19 can be associated with severe cardiopulmonary dysfunction. This clinical deterioration may sometimes necessitate veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support. We describe an algorithmic approach including the role of balloon atrial septostomy in this cohort. This is the first reported series of percutaneous VA-ECMO in pediatric patients with MIS-C for better outcomes. The lessons from this approach can be replicated in other pediatric clinical conditions and adds to the armament of multiple pediatric specialties.
新型冠状病毒肺炎（COVID-19）背景下的儿童多系统炎症综合征（MIS-C）可能与严重的心肺功能障碍相关。这种临床恶化有时可能需要静脉-动脉体外膜肺氧合（VA-ECMO）支持。我们描述了一种算法方法，包括球囊房间隔造口术在该队列中的作用。这是首次报道的一系列针对MIS-C儿科患者采用经皮VA-ECMO以获得更好预后的病例。这种方法所获得的经验教训可在其他儿科临床情况中复制，并为多个儿科专业增添了手段。
