Hirudotherapy for neonatal limb ischemia during ECMO support: A word of caution.
Joseph C ReschSameh M SaidMarie E SteinerArif SomaniPublished in: Journal of cardiac surgery (2021)
The use of medicinal leech therapy in pediatric cardiac surgery may be considered to minimize the consequences of advanced limb ischemia and venous congestion. However, this should be used with caution while patients are systemically anticoagulated during ECMO support. A directed review is presented here to assist in determining optimal application and potential course of therapy.
Keyphrases
- cardiac surgery
- extracorporeal membrane oxygenation
- end stage renal disease
- acute respiratory distress syndrome
- chronic kidney disease
- ejection fraction
- newly diagnosed
- acute kidney injury
- prognostic factors
- peritoneal dialysis
- patient reported outcomes
- young adults
- mechanical ventilation
- human health
- smoking cessation