Authors
Patrick T Delaplain, Lishi Zhang, Danh V Nguyen, Amir H Ashrafi, Peter T Yu, Matteo Di Nardo, Yanjun Chen, Joanne Starr, Henri R Ford, Yigit S Guner
Publication date
2018/5
Journal
Perfusion
Volume
33
Issue
1_suppl
Pages
71-79
Publisher
SAGE Publications
Description
Purpose
With the exception of neonatal respiratory failure, most centers are now using centrifugal over roller-type pumps for the delivery of extracorporeal membrane oxygenation (ECMO). Evidence supporting the use of centrifugal pumps specifically in infants with congenital diaphragmatic hernia (CDH) remains lacking. We hypothesized that the use of centrifugal pumps in infants with CDH would not affect mortality or rates of severe neurologic injury (SNI).
Methods
Infants with CDH were identified within the ELSO registry (2000-2016). Patients were then divided into those undergoing ECMO with rollertype pumps or centrifugal pumps. Patients were matched based on propensity score (PS) for the ECMO pump type based on pre-ECMO covariates. This was done for all infants and separately for each ECMO mode, venovenous (VV) and venoarterial (VA) ECMO.
Results
We identified 4,367 infants who were treated with …
Scholar articles
PT Delaplain, L Zhang, DV Nguyen, AH Ashrafi, PT Yu… - Perfusion, 2018