학술논문
Clinical assessment can be lifesaving: Salvage of catastrophic cerebral ischemia by conversion to central extracorporeal membrane oxygenation.
Document Type
Article
Author
Source
Subject
*EXTRACORPOREAL membrane oxygenation
*CIRCLE of Willis
*CATASTROPHIC illness
*PEDIATRICS
*CEREBRAL ischemia
*DISEASE risk factors
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Language
ISSN
0267-6591
Abstract
Peripheral veno-artertial extracorporeal membrane oxygenation (VA-ECMO) is commonly used in the paediatric population for intractable respiratory and cardiac failure. One of the devastating complications of VA-ECMO is severe brain damage due to ischemia or haemorrhage. We describe a case of peripheral cervical VA-ECMO complicated by evolving right cerebral ischemia which was rescued with rapid conversion from peripheral to central VA-ECMO support. Notably, the patient had a complete circle of Willis. Following conversion, we observed complete resolution of neurological symptoms with full functional recovery. [ABSTRACT FROM AUTHOR]