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Review
. 2021 Apr 8;10(8):1573.
doi: 10.3390/jcm10081573.

Use of ECMO for Cardiogenic Shock in Pediatric Population

Priya Bhaskar  1 , Samuel Davila  1 , Aparna Hoskote  2 , Ravi Thiagarajan  3
Affiliations
Review

Use of ECMO for Cardiogenic Shock in Pediatric Population

Priya Bhaskar et al. J Clin Med. .

Abstract

In children with severe advanced heart failure where medical management has failed, mechanical circulatory support in the form of veno-arterial extracorporeal membrane oxygenation (VA ECMO) or ventricular assist device represents life-sustaining therapy. This review provides an overview of VA ECMO used for cardiovascular support including medical and surgical heart disease. Indications, contraindications, and outcomes of VA ECMO in the pediatric population are discussed.VA ECMO provides biventricular and respiratory support and can be deployed in rapid fashion to rescue patient with failing physiology. There have been advances in conduct and technologic aspects of VA ECMO, but survival outcomes have not improved. Stringent selection and optimal timing of deployment are critical to improve mortality and morbidity of the patients supported with VA ECMO.

Keywords: ECMO; cardiogenic shock; congenital.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Number of neonatal and pediatric VA ECMO runs per year with percent survival. Adapted from the ELSO Registry International Summary [4].
See this image and copyright information in PMC

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