Miranda-López D, Benita-Bordes A, Juanico-Enríquez A, Gilles-Herrera C, Arrieta-Arrollo G, Ramírez-Marroquín S

Language: English
References: 8
Page: 48-50
PDF size: 160.05 Kb.

ABSTRACT

Objective. To share the experience of the Instituto Nacional de Cardiología "Dr. Ignacio Chávez " utilizing ECMO as ventricular assistance in pediatric patients. Material. The files of patients undergoing cardiac surgery from May 2014 to May 2018 were reviewed. Only patients under 18 years old requiring veno-arterial ECMO, were included. The methodology used was non-experimental, transversal and descriptive. Results. From January 2014 to May 2018, 17 ECMO veno-arterial systems were installed, 12 by central cannulation and 5 with peripheral cannulation. The age range goes from 1 day to 15 years, and corporal weight from 2.9 kg to 26.7 kg. The average duration of ventricular support was 6 days (range, 2 to 13 days), length of stay in intensive care unit was 8.8 days (range, 1 to 30 days). Nine patients died (53%), 6 died in the first 2 years (85%) and 3 died in the next 2 years (30%). Conclusion. The complexity of congenital heart disease has increased progressively. Therefore, centers such as ours providing a high-level care, ECMO is becoming more and more frequent. The number of cases is still small. However, it is important to raise awareness of them. Initially mortality was high, decreasing significantly in the last two years.

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