ECMO in neonates: The association between cerebral hemodynamics with neurological function
Extracorporeal membrane oxygenation (ECMO) is a superior life support technology, commonly employed in critical patients with severe respiratory or hemodynamic failure to provide effective respiratory and circulatory support, which is especially recommended for the treatment of critical neonates. Ho...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.908861/full |
| _version_ | 1811260573522853888 |
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| author | Shu-Han Yu Dan-Hua Mao Rong Ju Yi-Yong Fu Li-Bing Zhang Guang Yue |
| author_facet | Shu-Han Yu Dan-Hua Mao Rong Ju Yi-Yong Fu Li-Bing Zhang Guang Yue |
| author_sort | Shu-Han Yu |
| collection | DOAJ |
| description | Extracorporeal membrane oxygenation (ECMO) is a superior life support technology, commonly employed in critical patients with severe respiratory or hemodynamic failure to provide effective respiratory and circulatory support, which is especially recommended for the treatment of critical neonates. However, the vascular management of neonates with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is still under controversy. Reconstruction or ligation for the right common carotid artery (RCCA) after ECMO is inconclusive. This review summarized the existed studies on hemodynamics and neurological function after vascular ligation or reconstruction hoping to provide better strategies for vessel management in newborns after ECMO. After reconstruction, the right cerebral blood flow can increase immediately, and the normal blood supply can be restored rapidly. But the reconstructed vessel may be occluded and stenotic in long-term follow-ups. Ligation may cause lateralization damage, but there could be no significant effect owing to the establishment of collateral circulation. The completion of the circle of Willis, the congenital anomalies of cerebral or cervical vasculature, the duration of ECMO, and the vascular condition at the site of arterial catheterization should be assessed carefully before making the decision. It is also necessary to follow up on the reconstructed vessel sustainability, and the association between cerebral hemodynamics and neurological function requires further large-scale multi-center studies. |
| first_indexed | 2024-04-12T18:49:32Z |
| format | Article |
| id | doaj.art-caa67e34bcdb4ed0a600787ea889bf9d |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-12T18:49:32Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-caa67e34bcdb4ed0a600787ea889bf9d2022-12-22T03:20:31ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.908861908861ECMO in neonates: The association between cerebral hemodynamics with neurological functionShu-Han Yu0Dan-Hua Mao1Rong Ju2Yi-Yong Fu3Li-Bing Zhang4Guang Yue5Department of Neonatology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Neonatology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Neonatology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Neonatology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Pediatric Surgery, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Neonatology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaExtracorporeal membrane oxygenation (ECMO) is a superior life support technology, commonly employed in critical patients with severe respiratory or hemodynamic failure to provide effective respiratory and circulatory support, which is especially recommended for the treatment of critical neonates. However, the vascular management of neonates with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is still under controversy. Reconstruction or ligation for the right common carotid artery (RCCA) after ECMO is inconclusive. This review summarized the existed studies on hemodynamics and neurological function after vascular ligation or reconstruction hoping to provide better strategies for vessel management in newborns after ECMO. After reconstruction, the right cerebral blood flow can increase immediately, and the normal blood supply can be restored rapidly. But the reconstructed vessel may be occluded and stenotic in long-term follow-ups. Ligation may cause lateralization damage, but there could be no significant effect owing to the establishment of collateral circulation. The completion of the circle of Willis, the congenital anomalies of cerebral or cervical vasculature, the duration of ECMO, and the vascular condition at the site of arterial catheterization should be assessed carefully before making the decision. It is also necessary to follow up on the reconstructed vessel sustainability, and the association between cerebral hemodynamics and neurological function requires further large-scale multi-center studies.https://www.frontiersin.org/articles/10.3389/fped.2022.908861/fullextracorporeal membrane oxygenationneonatehemodynamicsneurologic functionblood vessel |
| spellingShingle | Shu-Han Yu Dan-Hua Mao Rong Ju Yi-Yong Fu Li-Bing Zhang Guang Yue ECMO in neonates: The association between cerebral hemodynamics with neurological function Frontiers in Pediatrics extracorporeal membrane oxygenation neonate hemodynamics neurologic function blood vessel |
| title | ECMO in neonates: The association between cerebral hemodynamics with neurological function |
| title_full | ECMO in neonates: The association between cerebral hemodynamics with neurological function |
| title_fullStr | ECMO in neonates: The association between cerebral hemodynamics with neurological function |
| title_full_unstemmed | ECMO in neonates: The association between cerebral hemodynamics with neurological function |
| title_short | ECMO in neonates: The association between cerebral hemodynamics with neurological function |
| title_sort | ecmo in neonates the association between cerebral hemodynamics with neurological function |
| topic | extracorporeal membrane oxygenation neonate hemodynamics neurologic function blood vessel |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.908861/full |
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