Volume 3, Issue 6 pp. 411-414

Patency of Internal Jugular Vein Following Repair after ECMO Stabilization Prior to Berlin Heart Implantation: Utility of Repaired Vein for Subsequent Cardiac Catheterization and Biopsy

Frank Bennett Pearce MD

Frank Bennett Pearce MD

Divisions of Pediatric Cardiology,

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James K. Kirklin MD

James K. Kirklin MD

Cardiac Surgery,

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Christopher J. Knott-Craig MD

Christopher J. Knott-Craig MD

Cardiac Surgery,

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William L. Holman MD

William L. Holman MD

Cardiac Surgery,

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Douglas H. Barnhart MD

Douglas H. Barnhart MD

Pediatric Surgery and

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William S. McMahon MD

William S. McMahon MD

Divisions of Pediatric Cardiology,

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Leslie W. Hayes MD

Leslie W. Hayes MD

Pediatric Critical Care, Birmingham, Ala, USA

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Santiago Borasino MD, MPH

Santiago Borasino MD, MPH

Pediatric Critical Care, Birmingham, Ala, USA

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First published: 21 November 2008
Citations: 5
F. Bennett Pearce, MD, L.M. Bargeron Division of Pediatric Cardiology, University of Alabama, School of Medicine, Birmingham, AL, USA. Tel: (+1) 205-934-3460; Fax: (+1) 205-975-6291; E-mail: [email protected]

ABSTRACT

Objective. The objective of this study was to examine the patency and utility for subsequent vascular access of the internal jugular vein following use in short-term extracorporeal membrane oxygenation.

Design. Retrospective review.

Setting. Pediatric cardiac intensive care unit, pediatric cardiac catheterization laboratory, and pediatric cardiac clinic.

Patients. Four children, ages 7–178 months, requiring mechanical circulatory support.

Interventions. Extracorporeal membrane oxygenation support, internal jugular vein repair, Berlin Heart mechanical circulatory support, heart transplantation, cardiac catheterization.

Outcome Measures. Following surgical repair, the internal jugular vein was studied with bedside ultrasound for assessment of patency. When appropriate, subsequent vascular access of the vessel was attempted and the success was reported.

Results. Follow-up ultrasound examination demonstrated vessel patency in all cases. In patients requiring subsequent catheterization (3/4), successful vessel entry and catheterization were performed.

Conclusions. Repair of the internal jugular vein following use for short-term extracorporeal membrane oxygenation support can be accomplished with success. The vessel can be used for subsequent vascular access when necessary.

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