title: Transhepatic Cannulation for Venovenous Extracorporeal Membrane Oxygenation.
abstract: Limited vascular access because of vessel injury or thrombosis may complicate care of children with congenital heart disease. Although transhepatic venous access for cardiac catheterization and central venous catheter placement has been used in children, its use for extracorporeal membrane oxygenation (ECMO) has not been described. We report successful use of transhepatic cannulation for venovenous ECMO to support a 15 month-old child with bidirectional Glenn anatomy and intractable hypoxemia.
authors.affiliation: From the *Division of Critical Care Medicine, Department of Pediatrics, †Division of Cardiology, Department of Pediatrics, and ‡Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Rhodes
authors.forename: William C
authors.initials: WC
authors.lastname: Sasser
authors.forename: William S
authors.initials: WS
authors.lastname: Mcmahon
authors.forename: Mark A
authors.initials: MA
authors.lastname: Law
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Timpa
authors.forename: L Carlisle
authors.initials: LC
authors.lastname: O'Meara
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Alten
mesh_terms: D057785:Catheters; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000628:therapy*; D007223:Infant