Key result
Percutaneous left atrial decompression significantly reduced left atrial pressure and pulmonary edema in 44 pediatric patients supported with extracorporeal membrane oxygenation.
Why the study?
Does percutaneous left atrial decompression improve left atrial pressure and pulmonary edema in pediatric patients supported with ECMO for cardiac disease?
Observational (n=44)
No
Does percutaneous left atrial decompression improve left atrial pressure and pulmonary edema in pediatric patients supported with ECMO for cardiac disease?
Percutaneous left atrial decompression using various techniques is effective in reducing pulmonary venous congestion in pediatric patients on ECMO, though it may result in persistent atrial septal defects requiring closure.
Answers are grounded in this paper and cite their sources.
Single-center experience supports feasibility of percutaneous LA decompression in pediatric ECMO; leaves open need for prospective trials on outcomes.
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Eastaugh et al. (2014) conducted an observational in Cardiac disease requiring extracorporeal membrane oxygenation (n=44). Percutaneous left atrial decompression was evaluated on Change in left atrial pressure and severity of pulmonary edema on chest radiography pre and post procedure. Percutaneous left atrial decompression significantly reduced left atrial pressure and pulmonary edema in 44 pediatric patients supported with extracorporeal membrane oxygenation.
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