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DOI: 10.1055/s-0029-1231053
© Georg Thieme Verlag KG Stuttgart · New York
A Review of Venovenous and Venoarterial Extracorporeal Membrane Oxygenation in Neonates and Children
Publication History
received March 30, 2009
accepted after revision June 06, 2009
Publication Date:
10 September 2009 (online)
![](https://www.thieme-connect.de/media/ejps/201001/lookinside/thumbnails/10.1055-s-0029-1231053-1.jpg)
Abstract
The use of extracorporeal membrane oxygenation (ECMO) has increased since its inception. As this modality gained wider acceptance, its application in a variety of disease states has increased. The initial use of ECMO required cannulation of both the carotid artery and internal jugular vein (VA ECMO). Ligation of the carotid artery and concern regarding potential long-term sequelae prompted the development of the single cannula venous only (VV ECMO) technique. Various reports in the literature have compared VV ECMO and VA ECMO. We present a review of the literature with regard to both physiology and clinical application.
Key words
ECMO - meconium aspiration syndrome - respiratory failure - congenital diaphragmatic hernia - sepsis
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Correspondence
Dr. Shawn David St. Peter
Children's Mercy Hospital
Department of Surgery
Center for Prospective Trials
2401 Gillham Road
Kansas City
United States
MO 64108
Phone: +1-816-983 3575
Fax: +1-816-983 6885
Email: sspeter@cmh.edu