Back to the roots? Dual cannulation strategy for ambulatory ECMO in adolescent lung transplant candidates: An alternative?
Corresponding Author
F. Schmidt
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Correspondence
Florian Schmidt, Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany.
Email: [email protected] or [email protected]
Search for more papers by this authorT. Jack
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Search for more papers by this authorM. Sasse
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Search for more papers by this authorC. Mueller
Department of Pediatric Pneumology and Neonatology, Medical School Hannover, Hannover, Germany
Search for more papers by this authorN. Schwerk
Department of Pediatric Pneumology and Neonatology, Medical School Hannover, Hannover, Germany
Search for more papers by this authorD. Bobylev
Department of Cardiothoracic Surgery, Transplantation and Vascular Surgery, Medical School Hannover, Hannover, Germany
Search for more papers by this authorP. Beerbaum
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Search for more papers by this authorH. Koeditz
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Search for more papers by this authorCorresponding Author
F. Schmidt
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Correspondence
Florian Schmidt, Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany.
Email: [email protected] or [email protected]
Search for more papers by this authorT. Jack
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Search for more papers by this authorM. Sasse
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Search for more papers by this authorC. Mueller
Department of Pediatric Pneumology and Neonatology, Medical School Hannover, Hannover, Germany
Search for more papers by this authorN. Schwerk
Department of Pediatric Pneumology and Neonatology, Medical School Hannover, Hannover, Germany
Search for more papers by this authorD. Bobylev
Department of Cardiothoracic Surgery, Transplantation and Vascular Surgery, Medical School Hannover, Hannover, Germany
Search for more papers by this authorP. Beerbaum
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Search for more papers by this authorH. Koeditz
Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany
Search for more papers by this authorAbstract
Bridging critically ill pediatric patients to lung transplantation still remains a major challenge. Although still controversial, within the last 5 years, ECMO has been increasingly used as a bridge to lung transplantation concept in adult and pediatric patients with acceptable outcomes. The outstanding developments in the field of extracorporeal devices and the introduction of awake ECMO concepts with the avoidance of mechanical ventilation have led to a real paradigm shift in the ICU management of pretransplant candidates with severe respiratory failure. Therefore, ECMO is no longer seen as a contraindication for lung transplantation at least at our center. Nevertheless, how to bridge these patients on ECMO still remains controversial. Thus, we introduced an ambulatory ECMO approach in adolescent lung transplant candidates with acute respiratory failure using a dual cannulation strategy and hereby present first results from this procedure.
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