{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:17:12Z","timestamp":1783343832454,"version":"3.54.6"},"reference-count":7,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The selection of cannulation site is a key consideration for Veno-Venous (V-V) Extracorporeal membrane oxygenation (ECMO) in infants. We report a case of infant, successfully managed with long-term ECMO using a subxiphoid approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report<\/jats:title>\n                    <jats:p>A 9-month-old girl with respiratory failure was initially managed with Veno-Arterial ECMO. Due to the prolonged duration of ECMO management, we switched to V-V ECMO, via Veno-Arterial-Venous (V-AV) ECMO, using a subxiphoid approach; a small skin incision was made in the subxiphoid area and an L-shaped 14 Fr drainage cannula was placed in the inferior vena cava. The patient was managed with sufficient blood flow and no adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The subxiphoid approach allows the placement of adequately sized drainage cannulas in small children and enables safe conversion to V-V ECMO via V-AV ECMO using a minimally invasive procedure without sternotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The subxiphoid approach may represent a feasible option for ECMO cannulation in infants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591261427678","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T21:04:25Z","timestamp":1771275865000},"page":"784-786","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of long-term extracorporeal membrane oxygenation management with a subxiphoid approach in an infant"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8087-5295","authenticated-orcid":false,"given":"Ryosuke","family":"Nakai","sequence":"first","affiliation":[{"name":"Hyogo Prefectural Kobe Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihisa","family":"Miyashita","sequence":"additional","affiliation":[{"name":"Hyogo Prefectural Kobe Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiko","family":"Higashida","sequence":"additional","affiliation":[{"name":"Hyogo Prefectural Kobe Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironori","family":"Matsuhisa","sequence":"additional","affiliation":[{"name":"Hyogo Prefectural Kobe Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Nagai","sequence":"additional","affiliation":[{"name":"Hyogo Prefectural Kobe Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Aoki","sequence":"additional","affiliation":[{"name":"Hyogo Prefectural Kobe Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0532-1941","authenticated-orcid":false,"given":"Hiroshi","family":"Kurosawa","sequence":"additional","affiliation":[{"name":"Hyogo Prefectural Kobe Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0267659118823999"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2017.06.005"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2018.00017"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002753"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2017.10.036"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0267659114540020"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2013.09.029"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261427678","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591261427678","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261427678","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:29:58Z","timestamp":1783340998000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591261427678"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,16]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/02676591261427678"],"URL":"https:\/\/doi.org\/10.1177\/02676591261427678","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,16]]}}}