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- Title
Percutaneous VA-ECMO from Cannulation to Decannulation: Novel Use of a Vascular Closure Device in Pediatrics.
- Authors
Mejia, Ernesto; Cummer, Elaina; Morgan, Gareth J.; Buckvold, Shannon; Mitchell, Max; Leahy, Ryan A.; Zablah, Jenny E.
- Abstract
VA-ECMO can be lifesaving in cardiogenic shock in children. While surgical vascular repair is the current standard of care for decannulation, it comes with notable risks. We present a series of eight patients who underwent decannulation with a collagen plug-based vascular closure device (MANTA) for the common femoral artery. Seven of the patients were successfully decannulated without access site-related vascular complications. One required conversion to surgical cut-down with arterial repair due to device failure. This series demonstrates the successful use of the MANTA device in percutaneous VA-ECMO decannulation in the pediatric population, while highlighting potential technical challenges for success.
- Subjects
VASCULAR closure devices; ARTERIAL puncture; ARTERIAL catheterization; CHILD patients; CARDIOGENIC shock; FEMORAL artery
- Publication
Pediatric Cardiology, 2023, Vol 44, Issue 7, p1623
- ISSN
0172-0643
- Publication type
Article
- DOI
10.1007/s00246-023-03222-w