Extracorporeal Cardiopulmonary Resuscitation (ECPR): Initiation and Surgical Technique in the Pediatric Population

Document Type

Article

Publication Date

9-1-2019

Identifier

DOI:10.1053/j.optechstcvs.2019.10.001

Abstract

Surgical outcomes in the field of congenital heart surgery have dramatically improved over the last several decades. This success has led to sicker and more complex children presenting for major corrective surgery. Extracorporeal cardiopulmonary resuscitation (ECPR) in form of mechanical circulatory support that has become an integral service of most congenital heart programs; the concept of ECPR is essentially the rapid and effective initiation of extracorporeal membrane oxygenation (ECMO), usually at the bedside and often on an infant who has just undergone repair of a complex congenital heart defect. The financial resources and personnel that must be dedicated to an ECPR program exceed those of routine ECMO programs and must be justified relative to the surgical complexity that a particular institution chooses to offer its patients. With the appropriate dedication of resources and personnel, ECPR has been shown to improve postoperative survival as compared to outcomes when this service is not available.

Journal Title

Congenital

Volume

24

Issue

3

First Page

176

Last Page

186

Keywords

Extracorporeal cardiopulmonary resuscitation (ECPR); Cardiopulmonary arrest; Extracorporeal membrane oxygenation (ECMO); Mechanical circulatory assist devices; Cannulation

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