Carotid artery (CA) cannulation for veno-arterial extracorporeal membrane oxygenation (ECMO) is associated with a higher risk for central nervous system (CNS) injury than femoral artery or aorta cannulations in all pediatric patients younger than 18 years of age, according to a study presented here at the Society of Critical Care Medicine 39th Critical Care Congress.
“In fact, we found that whether you’re a neonate or a teenager, you had the same increased risk of neurologic injury after carotid artery cannulation, including clinical or EEG seizures, hemorrhage, or infarction, ” lead author Sarah Teele, MD, from the cardiac intensive care unit at Children’s Hospital Boston in Massachusetts, and an instructor in pediatrics at Harvard Medical School, told meeting attendees.

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