A Systematic Review of Clinical Outcomes After Carotid Artery Ligation Versus Carotid Artery Reconstruction Following Venoarterial Extracorporeal Membrane Oxygenation in Infants and Children

In pediatric and neonatal populations, the carotid artery is commonly cannulated for venoarterial (VA) extracorporeal membrane oxygenation (ECMO). The decision to ligate (carotid artery ligation [CAL]) versus reconstruct (carotid artery reconstruction [CAR]) the artery at decannulation remains contr...

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Bibliographic Details
Published in:The Journal of surgical research 2023-11, Vol.291, p.423-432
Main Authors: Gil, Lindsay A., Apfeld, Jordan C., Gehred, Alison, Walczak, Ashely B., Frazier, W. Joshua, Seabrook, Ruth B., Olutoye, Oluyinka O., Minneci, Peter C.
Format: Article
Language:English
Subjects:
Carotid artery ligation
Carotid artery reconstruction
Neurologic outcomes
Pediatric VA-ECMO
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Summary:In pediatric and neonatal populations, the carotid artery is commonly cannulated for venoarterial (VA) extracorporeal membrane oxygenation (ECMO). The decision to ligate (carotid artery ligation [CAL]) versus reconstruct (carotid artery reconstruction [CAR]) the artery at decannulation remains controversial as long-term neurologic outcomes remain unknown. The objective of this study was to summarize current literature on clinical outcomes following CAL and CAR after Venoarterial Extracorporeal Membrane Oxygenation (VA-ECMO). PubMed (MEDLINE), Embase, Web of Science, and Cochrane databases were searched using keywords from January 1950 to October 2020. Studies examining clinical outcomes following CAL and CAR for VA-ECMO in patients
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2023.06.046