Surgical experience in repairing the right common carotid artery and the right internal jugular vein after ECMO in neonates: early clinical results
Abstract Background The purpose of this study was to summarize the early clinical results and surgical experience of repairing the right common carotid artery and the right internal jugular vein after ECMO treatment in neonates. Methods We retrospectively collected the clinical data of 16 neonates w...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | Italian Journal of Pediatrics |
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| Online Access: | https://doi.org/10.1186/s13052-023-01556-y |
| _version_ | 1797630105039667200 |
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| author | Qi-Liang Zhang Xiu-Hua Chen Si-Jia Zhou Yi-Rong Zheng Hua Cao Qiang Chen |
| author_facet | Qi-Liang Zhang Xiu-Hua Chen Si-Jia Zhou Yi-Rong Zheng Hua Cao Qiang Chen |
| author_sort | Qi-Liang Zhang |
| collection | DOAJ |
| description | Abstract Background The purpose of this study was to summarize the early clinical results and surgical experience of repairing the right common carotid artery and the right internal jugular vein after ECMO treatment in neonates. Methods We retrospectively collected the clinical data of 16 neonates with circulatory and respiratory failure who were treated with ECMO via the right common carotid artery and the right internal jugular vein in our hospital from June 2021 to December 2022. The effects of repairing the common carotid artery and internal jugular vein were evaluated. Results All 16 patients successfully underwent right cervical vascular cannulation, and the ECMO cycle was successfully established. Twelve patients were successfully removed from ECMO. The right common carotid artery and the right internal jugular vein were successfully repaired in these 12 patients. There was unobstructed arterial blood flow in 9 patients, mild stenosis in 1 patient, moderate stenosis in 1 patient and obstruction in 1 patient. There was unobstructed venous blood flow in 10 patients, mild stenosis in 1 patient, and moderate stenosis in 1 patient. No thrombosis was found in the right internal jugular vein. Thrombosis was found in the right common carotid artery of one patient. Conclusion Repairing the right common carotid artery and the right internal jugular vein after ECMO treatment in neonates was feasible, and careful surgical anastomosis techniques and standardized postoperative anticoagulation management can ensure early vascular patency. However, long-term vascular patency is still being assessed in follow-up. |
| first_indexed | 2024-03-11T11:02:13Z |
| format | Article |
| id | doaj.art-731e24a998834b2597c50ea74aaa0288 |
| institution | Directory Open Access Journal |
| issn | 1824-7288 |
| language | English |
| last_indexed | 2024-03-11T11:02:13Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Italian Journal of Pediatrics |
| spelling | doaj.art-731e24a998834b2597c50ea74aaa02882023-11-12T12:24:59ZengBMCItalian Journal of Pediatrics1824-72882023-11-014911910.1186/s13052-023-01556-ySurgical experience in repairing the right common carotid artery and the right internal jugular vein after ECMO in neonates: early clinical resultsQi-Liang Zhang0Xiu-Hua Chen1Si-Jia Zhou2Yi-Rong Zheng3Hua Cao4Qiang Chen5Department of Cardiac Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical UniversityDepartment of Cardiac Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical UniversityDepartment of Cardiac Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical UniversityDepartment of Cardiac Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical UniversityDepartment of Cardiac Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical UniversityDepartment of Cardiac Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical UniversityAbstract Background The purpose of this study was to summarize the early clinical results and surgical experience of repairing the right common carotid artery and the right internal jugular vein after ECMO treatment in neonates. Methods We retrospectively collected the clinical data of 16 neonates with circulatory and respiratory failure who were treated with ECMO via the right common carotid artery and the right internal jugular vein in our hospital from June 2021 to December 2022. The effects of repairing the common carotid artery and internal jugular vein were evaluated. Results All 16 patients successfully underwent right cervical vascular cannulation, and the ECMO cycle was successfully established. Twelve patients were successfully removed from ECMO. The right common carotid artery and the right internal jugular vein were successfully repaired in these 12 patients. There was unobstructed arterial blood flow in 9 patients, mild stenosis in 1 patient, moderate stenosis in 1 patient and obstruction in 1 patient. There was unobstructed venous blood flow in 10 patients, mild stenosis in 1 patient, and moderate stenosis in 1 patient. No thrombosis was found in the right internal jugular vein. Thrombosis was found in the right common carotid artery of one patient. Conclusion Repairing the right common carotid artery and the right internal jugular vein after ECMO treatment in neonates was feasible, and careful surgical anastomosis techniques and standardized postoperative anticoagulation management can ensure early vascular patency. However, long-term vascular patency is still being assessed in follow-up.https://doi.org/10.1186/s13052-023-01556-yNeonatesECMOVascular anastomosisEarly results |
| spellingShingle | Qi-Liang Zhang Xiu-Hua Chen Si-Jia Zhou Yi-Rong Zheng Hua Cao Qiang Chen Surgical experience in repairing the right common carotid artery and the right internal jugular vein after ECMO in neonates: early clinical results Italian Journal of Pediatrics Neonates ECMO Vascular anastomosis Early results |
| title | Surgical experience in repairing the right common carotid artery and the right internal jugular vein after ECMO in neonates: early clinical results |
| title_full | Surgical experience in repairing the right common carotid artery and the right internal jugular vein after ECMO in neonates: early clinical results |
| title_fullStr | Surgical experience in repairing the right common carotid artery and the right internal jugular vein after ECMO in neonates: early clinical results |
| title_full_unstemmed | Surgical experience in repairing the right common carotid artery and the right internal jugular vein after ECMO in neonates: early clinical results |
| title_short | Surgical experience in repairing the right common carotid artery and the right internal jugular vein after ECMO in neonates: early clinical results |
| title_sort | surgical experience in repairing the right common carotid artery and the right internal jugular vein after ecmo in neonates early clinical results |
| topic | Neonates ECMO Vascular anastomosis Early results |
| url | https://doi.org/10.1186/s13052-023-01556-y |
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