title: Reconstruction of the arteria carotis communis in newborn following extracorporeal membrane oxygenation (ECMO).
abstract: With the help of ECMO it is possible to save the lives of newborn infants suffering from severe respiratory distress syndrome not responding to conservative treatment. Using Bartlett's classic venous-arterial perfusion technique in ECMO the right arteria carotis communis had to be sacrificed. Thus, despite the life-saving character of this new method, the ligation of the carotid with all its possible complications had often been a major argument against using this therapy. We are now therefore trying to reconstruct the arteria carotis after decannulating the vessel after extracorporeal membrane oxygenation. In our 8 cases so far, post-op examinations showed no obstruction of blood flow in the vessel. No neurological deficiencies were recorded.
authors.affiliation: Kinderchirurgische Klinik, Klinikum Mannheim, Universität Heidelberg.
authors.forename: W
authors.initials: W
authors.lastname: Schaupp
authors.forename: W
authors.initials: W
authors.lastname: Brands
authors.forename: H
authors.initials: H
authors.lastname: Wirth
authors.forename: W
authors.initials: W
authors.lastname: Kachel
authors.forename: P
authors.initials: P
authors.lastname: Lasch
authors.forename: B
authors.initials: B
authors.lastname: Schmitt
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D002339:Carotid Arteries / Q000601:surgery*; D002544:Cerebral Infarction / Q000517:prevention & control; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008471:Meconium Aspiration Syndrome / Q000601:surgery; D010547:Persistent Fetal Circulation Syndrome / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D012127:Respiratory Distress Syndrome, Newborn / Q000601:surgery*; D013536:Suture Techniques