The AngioVac System in Childhood and Adolescence: A New Venovenous Extracorporeal Membrane Oxygenation-Like Configuration

Author:

Tarzia Vincenzo1ORCID,Pradegan Nicola1,Ponzoni Matteo1ORCID,Parolin Mattia2,Gaio Paola3,Meneghesso Davide2,Cananzi Mara3,Benetti Elisa2,Battistel Michele4,Zanella Fabio1,Gerosa Gino1

Affiliation:

1. Cardiac Surgery Unit, Cardiac, Thoracic, Vascular and Public Health Department, Padova University Hospital, Padova, Italy

2. Pediatric Nephrology Unit, Department of Woman and Child’s Health, Padova University Hospital, Padova, Italy

3. Pediatric Gastroenterology Unit, Department of Woman and Child’s Health, Padova University Hospital, Padova, Italy

4. Institute of Radiology, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.

Abstract

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Biomedical Engineering,General Medicine,Biomaterials,Bioengineering,Biophysics

Reference11 articles.

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