{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T09:52:31Z","timestamp":1793267551725,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T00:00:00Z","timestamp":1686700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Extracorporeal membrane oxygenation (ECMO) is a widely used technique to support neonates with severe respiratory failure. Data on percutaneous, ultrasound\u2010guided veno\u2010venous (VV) ECMO cannulation in neonates is still scarce. Aim of this study was to describe our institutional experience with ultrasound\u2010guided percutaneous, VV ECMO cannulation in neonates with severe respiratory failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Neonates receiving ECMO support at our department between January 2017 and January 2021 were retrospectively identified. Patients receiving VV ECMO cannulation performed by the percutaneous Seldinger technique by single\u2010 or multisite cannulation were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 54 neonates received ECMO cannulation performed by the percutaneous Seldinger technique. In 39 patients (72%) a 13 French bicaval dual\u2010lumen cannula was inserted and in 15 patients (28%) two single\u2010lumen cannulae were used. Cannulae positioning using the multisite approach was in all cases as desired. The tip of the 13 French cannula was located in the IVC in 35\/39 patients, in four patients position was too proximal but did not dislocate during the ECMO run. One (2%) preterm neonate (weight 1.75\u2009kg) developed a cardiac tamponade which was successfully managed with drainage. Median duration of ECMO was 7 days (interquartile range: 5\u201316 days). Forty\u2010four patients (82%) were successfully weaned from ECMO and in 31\/44 (71%) the ECMO cannulae were removed with a delay of 0.9\u20137.2 days (median 2.8 days) after weaning without noticing complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A correct cannula placement using the ultrasound\u2010guided percutaneous Seldinger technique, for both single\u2010 and multisite cannulation, seems feasible in most neonatal patients receiving VV ECMO.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.26555","type":"journal-article","created":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T12:55:06Z","timestamp":1686747306000},"page":"2574-2582","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Percutaneous, ultrasound\u2010guided single\u2010 and multisite cannulation for veno\u2010venous extracorporeal membrane oxygenation in neonates"],"prefix":"10.1002","volume":"58","author":[{"given":"Florian","family":"Kipfmueller","sequence":"first","affiliation":[{"name":"Department of Neonatology and Pediatric Intensive Care, Children's Hospital University of Bonn  Bonn Germany"},{"name":"Division of Congenital Malformations, Center for Rare Diseases Bonn University Hospital Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bartolomeo","family":"Bo","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Pediatric Intensive Care, Children's Hospital University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Schmitt","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Pediatric Intensive Care, Children's Hospital University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemmen","family":"Sabir","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Pediatric Intensive Care, Children's Hospital University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6501-2243","authenticated-orcid":false,"given":"Lukas","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Pediatric Intensive Care, Children's Hospital University of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Mueller","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Pediatric Intensive Care, Children's Hospital University of Bonn  Bonn Germany"},{"name":"Division of Congenital Malformations, Center for Rare Diseases Bonn University Hospital Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till","family":"Dresbach","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Pediatric Intensive Care, Children's Hospital University of Bonn  Bonn 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