| Issue |
J Extra Corpor Technol
Volume 57, Number 3, September 2025
|
|
|---|---|---|
| Page(s) | 164 - 167 | |
| DOI | https://doi.org/10.1051/ject/2025027 | |
| Published online | 15 September 2025 | |
Case Report
A novel strategy for conversion from pediatric V-A ECMO to CPB circuit
Perfusion Department, Bristol Royal Hospital for Children, Bristol, United Kingdom
* Corresponding author: amitablal@gmail.com
Received:
18
December
2024
Accepted:
19
May
2025
This article describes two novel strategies to convert a veno-arterial extracorporeal membrane oxygenator (V-A ECMO) supported pediatric patient circuit to a cardiopulmonary bypass (CPB) circuit. Modification of the existing ECMO circuit incorporated a venous reservoir, cardioplegia circuit, ultrafiltration circuit, and cardiotomy suckers, allowing all aspects of cardiac surgery to be performed. This approach eliminated the need for conversion to an additional CPB circuit, thereby reducing surface area exposure and blood product requirement. We found that these patients had no major post-operative coagulopathies or observable neurological dysfunction.
Key words: ECMO / CPB / Pediatric / Cardiac surgery / Conversion
© The Author(s), published by EDP Sciences, 2025
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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