Journal article
Early Use Experience of the Crescent Right Atrial Cannula for Neonatal Veno-Venous Extracorporeal Membrane Oxygenation
ASAIO journal (1992)
16 Jan 2025
Abstract
Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) is associated with fewer neurological complications and decreased mortality compared to veno-arterial (VA) ECMO in neonatal respiratory failure. The Crescent right atrial (RA) cannula is the only dual-lumen cannula for neonatal VV ECMO designed to have the tip in the right atrium. The purpose of this study is to describe the experience with early use of the Crescent RA cannula. We performed a retrospective cohort study of 58 neonates and infants cannulated from September 2021 through August 2023 at 15 institutions represented within the Children’s Hospital Neonatal Consortium (CHNC) ECMO Focus Group. Members provided information on patient characteristics, ECMO runs, complications, and outcomes. Data were analyzed with descriptive statistics. Imaging was used during cannulation in 79.3% of cases. Survival to discharge was 84.5%. There was one major cannula-related complication resulting in death. The most common complication was cannula malposition in 46.6% of patients, requiring surgical repositioning in 29.3% of the total cohort. Early use experience with the Crescent RA cannula suggests that it is effective and safe in most patients, but the cannula may require repositioning to achieve optimal ECMO support or if malpositioned. Based on these observations, we developed recommendations for cannulation and cannula surveillance.
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Details
- Title
- Early Use Experience of the Crescent Right Atrial Cannula for Neonatal Veno-Venous Extracorporeal Membrane Oxygenation
- Creators
- Michael Sobolic - Indiana University – Purdue University IndianapolisYujin Park - Indiana University – Purdue University IndianapolisSharada H. Gowda - Texas Children's HospitalNicholas R. Carr - University of UtahRachel Chapman - Children's Hospital of Los AngelesAnnie Chi - Cook Children's Medical CenterGoeto Dantes - Children's Healthcare of AtlantaVedanta Dariya - The University of Texas Southwestern Medical CenterDaniel R. Dirnberger - Indiana University – Purdue University IndianapolisCaraciolo J. Fernandes - Texas Children's HospitalShannon Hamrick - Emory UniversitySwosti Joshi - St. Christopher's Hospital for ChildrenSarah Keene - Emory UniversityAllison Linden - Children's Healthcare of AtlantaAbhishek Makkar - The University of Texas Southwestern Medical CenterOgechukwu Menkiti - Drexel UniversityFranscesca Miquel-Verges - Children's Hospital of Los AngelesVilmaris Quinones-Cardona - Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, PennsylvaniaRakesh Rao - Washington University in St. LouisRicardo J. Rodriguez - Emory UniversityRuth Seabrook - Nationwide Children's HospitalPatrick Sloan - St. Louis Children's HospitalDenise Suttner - Indiana University – Purdue University IndianapolisMark F. Weems - Le Bonheur Children's HospitalLeslie Lusk - University of California, San FranciscoNatalie Rintoul - Children's Hospital of Los AngelesRobert DiGeronimo - University of WashingtonBrian W. Gray - Indiana University – Purdue University IndianapolisCHNC ECMO Focus Group
- Publication Details
- ASAIO journal (1992)
- Publisher
- Lippincott
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Scopus ID
- 2-s2.0-85216234665
- Other Identifier
- 991022020339804721