Work

A novel strategy for conversion from pediatric V-A ECMO to CPB circuit

Year: 2025

Type: article

Abstract: 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.

Source: Journal of ExtraCorporeal Technology

DOI: 10.1051/ject/2025027

Authors: Amita Lal, David Machin, William Lansdowne

Institution: Bristol Royal Hospital for Children

Language: English

Topic: Mechanical Circulatory Support Devices

Subfield: Biomedical Engineering

Field: Engineering

Domain: Physical Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,300