The AngioVac System in Childhood and Adolescence: A New Venovenous Extracorporeal Membrane Oxygenation-Like Configuration.
Vincenzo TarziaNicola PradeganMatteo PonzoniMattia ParolinPaola GaioDavide MeneghessoMara CananziElisa BenettiMichele BattistelFabio ZanellaGino GerosaPublished in: ASAIO journal (American Society for Artificial Internal Organs : 1992) (2023)
Intravascular and intracardiac clots, thrombi, and vegetative material can be safely and effectively treated with the AngioVac System (AngioDynamics, Latham, NY) as an alternative to open surgery. However, this technology is still not performed in children or adolescents as a rule. We aimed to present our experience with two cases (a 10 year old girl and a 17 year old male adolescent) with concurrent hypoxemia in whom this device was successfully used in combination with venovenous extracorporeal membrane oxygenation to remove caval thrombi and cavoatrial septic material, respectively. This extracorporeal circuit configuration allowed adequate respiratory support during the procedure. No endovascular recurrence of the pathologic material was found at 2 and 1 year of follow-up, respectively.
Keyphrases
- extracorporeal membrane oxygenation
- young adults
- minimally invasive
- acute respiratory distress syndrome
- respiratory failure
- childhood cancer
- locally advanced
- mental health
- physical activity
- acute kidney injury
- depressive symptoms
- coronary artery
- coronary artery bypass
- mechanical ventilation
- inferior vena cava
- vena cava
- intensive care unit
- free survival
- coronary artery disease
- surgical site infection
- left atrial appendage