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A random Abstract
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Our Team
Experience with the Avalon® bicaval double-lumen veno-venous cannula for neonatal respiratory ECMO.
[congenital diaphragmatic hernia]
We
report
a
single
centre
experience
of
neonatal
respiratory
ECMO
using
the
Avalon
(
®
)
double
-lumen
venous
cannula
and
compare
it
with
reports
in
the
literature
.
Between
2008
and
2012
,
the
Avalon
(
®
)
cannula
was
used
in
72
neonates
:
median
age
at
cannulation
was
1
.
8
days
(
IQR
1
.
2
-
2
.
8
days
)
and
bodyweight
3
.
4
Kg
(
3
.
0
-
3
.
7
Kg
)
.
Meconium
aspiration
syndrome
(
61
.
1
%
)
,
persistent
hypertension
of
the
newborn
(
25
%
)
and
congenital
diaphragmatic
hernia
(
5
.
6
%
)
were
the
most
common
diagnoses
.
Complications
occurred
in
19
patients
(
26
.
4
%
)
:
cannula
site
bleeding
in
6
(
8
.
3
%
)
,
the
cannula
perforating
the
right
atrial
wall
and
requiring
emergency
midline
sternotomy
in
5
(
6
.
9
%
)
and
the
cannula
needing
repositioning
in
3
(
4
.
2
%
)
.
Overall
survival
at
discharge
or
transfer
to
the
referring
hospital
was
88
.
8
%
.
Successful
wean
off
ECMO
occurred
in
68
patients
(
94
.
4
%
)
after
a
median
of
90
.
5
hours
(
63
.
4
-
136
.
11
)
.
ECMO
support
was
withdrawn
in
4
patients
(
5
.
6
%
)
.
The
Avalon
(
®
)
dual-lumen
veno-
venous
cannula
can
be
used
for
respiratory
ECMO
in
the
neonatal
population
.
However
,
as
the
incidence
of
right
atrial
perforation
is
not
negligible
,
we
suspended
its
used
in
this
group
of
patients
.
