Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Riccabona, M; Kuttnig-Haim, M; Dacar, D; Urlesberger, B; Reiterer, F; Maurer, U; Zobel, G.
Venous thrombosis in and after extracorporeal membrane oxygenation: detection and follow-up by color Doppler sonography.
Eur Radiol. 1997; 7(9):1383-1386
Doi: 10.1007%2Fs003300050305
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PubMed
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- Führende Autor*innen der Med Uni Graz
- Riccabona Michael
- Co-Autor*innen der Med Uni Graz
- Dacar Drago
- Haim Michaela
- Reiterer Friedrich
- Urlesberger Berndt
- Zobel Gerfried
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- Abstract:
- The purpose of our study was to evaluate thrombosis of venous vessels during and after extracorporeal membrane oxygenation (ECMO) using color Doppler sonography. We prospectively performed serial color Doppler sonography investigations in 30 ECMO patients [age: newborn to 3 years, male:female = 20:10, venoarterial (VA) ECMO = 18, venovenous (VV) ECMO = 12]. During ECMO obstruction and/or thrombosis of the superior vena cava (SVC) was observed in 2 neonates on VA ECMO. Furthermore, a thrombotic clot from an initially open duct of Arantii with partial portal vein thrombosis, reaching into the inferior vena cava (IVC), occurred despite adequate heparinization. After ECMO, late septic SVC thrombus occurred in one neonate. IVC thrombus was observed in two pediatric VV ECMO patients. The overall incidence of venous clots was 20 % (6 of 30). Routine color Doppler sonography monitoring of vessels in children on and after ECMO was found to be useful for early detection of venous thrombosis. It enabled consequent administration of appropriate therapy as well as follow-up after decannulation and reconstruction.
- Find related publications in this database (using NLM MeSH Indexing)
- Child, Preschool -
- Extracorporeal Membrane Oxygenation - adverse effects
- Female - adverse effects
- Humans - adverse effects
- Infant - adverse effects
- Infant, Newborn - adverse effects
- Male - adverse effects
- Prospective Studies - adverse effects
- Thrombosis - etiology
- Ultrasonography, Doppler, Color - etiology
- Vena Cava, Superior - ultrasonography
- Find related publications in this database (Keywords)
- Color Doppler Sonography
- Pediatric and Neonatal ECMO
- Thrombosis