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- Title
Imaging of cerebral complications of extracorporeal membrane oxygenation in infants with congenital heart disease - ultrasound with multimodality correlation.
- Authors
Svrckova, Patricia; Meshaka, Riwa; Holtrup, Melanie; Aramburo, Angela; Mankad, Kshitij; Kazmi, Farhat; Owens, Catherine M.; Gala-Peralta, Sandra; Semple, Thomas
- Abstract
Cranial ultrasound on neonatal intensive care units is generally performed by intensive care physicians, but radiologists often provide this crucial bedside test to children on specialist paediatric cardiac intensive care units. On a paediatric cardiac intensive care unit, complex congenital cardiac conditions are commonly encountered in both pre- and postoperative scenarios, often with the use of extracorporeal membrane oxygenation (ECMO), which both increases the risks of a number of neurologic complications and results in significant changes in vascular physiology. The aim of this pictorial essay is to discuss cranial ultrasound technique, demonstrate the changes in Doppler flow profiles resulting from veno-arterial extracorporeal membrane oxygenation and congenital cardiac conditions, and illustrate commonly encountered intracranial complications of extracorporeal membrane oxygenation support in congenital cardiac care.
- Subjects
EXTRACORPOREAL membrane oxygenation; CONGENITAL heart disease; CORONARY care units; INTENSIVE care units; CARDIAC intensive care; NEONATAL intensive care
- Publication
Pediatric Radiology, 2020, Vol 50, Issue 7, p997
- ISSN
0301-0449
- Publication type
journal article
- DOI
10.1007/s00247-019-04603-1