{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T17:20:51Z","timestamp":1791652851262,"version":"4.3.4"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the techniques used for percutaneous veno\u2010arterial extracorporeal membrane oxygenation (VA\u2010ECMO) cannulation and decannulation in children with the pediatric interventional cardiologist (PIC) as the primary operator, and present outcomes of this initial clinical experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Percutaneous VA\u2010ECMO during cardiopulmonary resuscitation (CPR) has been successfully performed in adults, but currently, not much data exists on children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a single\u2010center study including VA\u2010ECMO cannulations performed by the PIC between 2019 and 2021. Efficacy was defined as the successful initiation of VA\u2010ECMO without surgical cutdown. Safety was defined as the absence of additional procedures related to cannulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010three\u00a0percutaneous VA\u2010ECMO cannulations were performed by PIC on 20 children with 100% success. Fourteen (61%) were performed during ongoing CPR, and nine for cardiogenic shock. The Median age was 15 (0.15\u201318) years, and the median weight was 65 (3.3\u2013180) kg. All arterial cannulations were via the femoral artery except in one, 8\u2010week\u2010old infant who was cannulated in the carotid artery. A distal perfusion cannula was placed in the ipsilateral limb in 17 (78%). The median time from initiating cannulation to ECMO flow was 35 (13\u2013112) minutes. Two patients required arterial graft placement at the time of decannulation and one needed below\u2010knee amputation. ECMO support was maintained for a median of 4 (0.3\u201338) days. Thirty\u2010day survival was 74%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Percutaneous VA\u2010ECMO cannulations can be effectively performed, even during CPR with the Pediatric Interventional Cardiologist being the primary operator. This is an initial clinical experience. Future outcome studies compared with standard surgical cannulations are necessary to advocate routine percutaneous VA\u2010ECMO in children.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30649","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T15:43:04Z","timestamp":1680190984000},"page":"1088-1097","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Strategies and techniques for percutaneous Veno\u2010Arterial ECMO cannulation and decannulation in children"],"prefix":"10.1002","volume":"101","author":[{"given":"Cihangir","family":"Buyukgoz","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology, LeBonheur Children's Hospital University of Tennessee Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitesh","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care Medicine, LeBonheur Children's Hospital University of Tennessee Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care Medicine, LeBonheur Children's Hospital University of Tennessee Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy","family":"Rower","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care Medicine, LeBonheur Children's Hospital University of Tennessee Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Division of Congenital Cardiac Surgery, LeBonheur Children's Hospital University of Tennessee Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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