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Eur J Pediatr Surg 2010; 20(1): 1-4
DOI: 10.1055/s-0029-1231053
Review

© Georg Thieme Verlag KG Stuttgart · New York

A Review of Venovenous and Venoarterial Extracorporeal Membrane Oxygenation in Neonates and Children

S. J. Keckler1 , C. A. Laituri1 , D. J. Ostlie2 , S. D. St. Peter2
  • 1Children's Mercy Hospital, Department of Surgery, Kansas City, United States
  • 2Children's Mercy Hospital, Department of Surgery, Center for Prospective Trials, Kansas City, United States
Further Information

Publication History

received March 30, 2009

accepted after revision June 06, 2009

Publication Date:
10 September 2009 (online)

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Abstract

The use of extracorporeal membrane oxygenation (ECMO) has increased since its inception. As this modality gained wider acceptance, its application in a variety of disease states has increased. The initial use of ECMO required cannulation of both the carotid artery and internal jugular vein (VA ECMO). Ligation of the carotid artery and concern regarding potential long-term sequelae prompted the development of the single cannula venous only (VV ECMO) technique. Various reports in the literature have compared VV ECMO and VA ECMO. We present a review of the literature with regard to both physiology and clinical application.

Key words

ECMO - meconium aspiration syndrome - respiratory failure - congenital diaphragmatic hernia - sepsis

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Correspondence

Dr. Shawn David St. Peter

Children's Mercy Hospital

Department of Surgery

Center for Prospective Trials

2401 Gillham Road

Kansas City

United States

MO 64108

Phone: +1-816-983 3575

Fax: +1-816-983 6885

Email: sspeter@cmh.edu

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