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Original Research

Open Access

Veno-venous two-site cannulation versus veno-venous double lumen ECMO: complications and survival in infants with respiratory failure

  • MICHAEL HERMON1
  • JOHANN GOLEJ1
  • GEHAN MOSTAFA1
  • GUDRUN BURDA1
  • REGINA VARGHA1
  • GERHARD TRITTENWEIN1

1,Division of Neonatology Pediatric Intensive Care and Neuropediatrics Medical University of Vienna

DOI: 10.22514/SV72.102012.7 Vol.7,Issue 2,October 2012 pp.40-46

Published: 29 October 2012

*Corresponding Author(s): MICHAEL HERMON E-mail: michael.hermon@meduniwien.ac.at

Abstract

Objective. To compare complications and survival between the two-site veno-venous versus the veno-venous double lumen extracorporeal membrane oxygenation (ECMO) in infants with respiratory failure. 

Methods. The Extracorporeal Life Support Organization (ELSO, Ann Arbor, Michigan) provided the registry database, collec-ted between 1999-2009 for this research project. During this period, 9086 infants 􀀁 7 kg birth weight (BW) were treated with ECMO. From these children, those who were older than 32 days and received veno-venous extracorporeal membrane oxygenation (VV ECMO), were extracted for analysis. From a total of 270 infants who met the inclusion criteria, 236 infants were treated with veno-venous double lumen (VVDL) ECMO and 34 infants received VV two-site ECMO. ELSO records were reviewed for the following information: demographic data, type of ventilation, ventilator days and settings during ECMO, complications during ECMO and survival.

Results. Eighty-seven percent (n=236) of infants were cannulated with VVDL and 13% (n=34) with VV two-site cannulation. Twenty-four hours after ECMO onset, ventilator settings were significantly higher in the VV two-site group. Median ECMO duration was significantly shorter in the VV two-site group (137(90/208) vs. 203(128/336) hours, p=0.01). Total complication rate and survival rates (71% in the VVDL group and 56% in the VV two-site group) were not significantly different. Conclusion. Both cannulation modes for ECMO are safe for use in infants with respiratory failure. The decision regarding which technique should be used for this group of patients depends mainly on best practice experience of the individual ECMO center and on the technical equipment routinely used by the center.

Keywords

ECMO, infants, respira-tory failure, complications, survival

Cite and Share

MICHAEL HERMON,JOHANN GOLEJ,GEHAN MOSTAFA,GUDRUN BURDA,REGINA VARGHA,GERHARD TRITTENWEIN. Veno-venous two-site cannulation versus veno-venous double lumen ECMO: complications and survival in infants with respiratory failure. Signa Vitae. 2012. 7(2);40-46.

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