Multisite Venovenous Extracorporeal Membrane Oxygenation in Pediatric Patients Under 15 kg: Three-Center, Analysis of Surgical Versus Percutaneous Approach and Thrombosis Risk, 2017-2024.

ABSTRACT:

Objectives

An increasing number of pediatric centers use the femoral vein in neonates and smaller children to provide venovenous multisite (VVMS) extracorporeal membrane oxygenation (ECMO), but there are no studies comparing surgical vs. percutaneous approaches. We investigated the thrombosis risk associated with VVMS, comparing outcomes between the surgical and percutaneous approach.

Design

Retrospective data analysis.

Setting

Evelina London Children's Hospital, Heim Pal Hospital and Semmelweis University, 2017-2024.

Patients

We included 58 neonatal and pediatric patients weighing less than 15 kg, supported with VVMS ECMO for respiratory disease.

Interventions

None.

Measurements and main results

We collected patient and venovenous ECMO details. T

SUBMITTER: Korb C 

PROVIDER: S-EPMC12771976 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature