Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Pediatric Radiology
Published in: Pediatric Radiology 7/2018

01-07-2018 | Pictorial Essay

Chest computed tomography angiography in children on extracorporeal membrane oxygenation (ECMO)

Authors: Nathan C. Hull, Gary R. Schooler, Larry A. Binkovitz, Eric E. Williamson, Phillip A. Araoz, Lifeng Yu, Philip M. Young

Published in: Pediatric Radiology | Issue 7/2018

Login to get access

Abstract

Performing chest CT angiography on pediatric patients on extracorporeal membrane oxygenation (ECMO) can be challenging. Successfully performing CT angiography in these children requires substantial communication and coordination between the radiologists and clinical care providers. Additionally, the radiologist must understand the child’s anatomy and disease pathophysiology, flow dynamics of the ECMO circuit, image acquisition timing, contrast injection site, and volume, rate and duration of contrast administration. In this article we highlight the vital factors the radiologist needs to consider to optimize the chest CT angiography in pediatric patients on ECMO.
Literature
1.
Weinhaus L, Canter C, Noetzel M et al (1989) Extracorporeal membrane oxygenation for circulatory support after repair of congenital heart defects. Ann Thorac Surg 48:206–212CrossRefPubMed
2.
Raithel SC, Pennington DG, Boegner E et al (1992) Extracorporeal membrane oxygenation in children after cardiac surgery. Circulation 86:II305–II310PubMed
3.
Goodwin SJ, Randle E, Iguchi A et al (2014) Chest computed tomography in children undergoing extra-corporeal membrane oxygenation: a 9-year single-centre experience. Pediatr Radiol 44:750CrossRefPubMed
4.
Maslach-Hubbard A, Bratton SL (2013) Extracorporeal membrane oxygenation for pediatric respiratory failure: history, development and current status. World J Crit Care Med 2:29–39CrossRefPubMedPubMedCentral
5.
6.
Lidegran MK, Ringertz HG, Frenckner BP, Lindén VB (2005) Chest and abdominal CT during extracorporeal membrane oxygenation: clinical benefits in diagnosis and treatment. Acad Radiol 12:276–285CrossRefPubMed
7.
Nair AB, Oishi P (2016) Venovenous extracorporeal life support in single-ventricle patients with acute respiratory distress syndrome. Front Pediatr 4:66CrossRefPubMedPubMedCentral
8.
9.
10.
Rigsby CK, Gasber E, Seshadri R et al (2007) Safety and efficacy of pressure-limited power injection of iodinated contrast medium through central lines in children. AJR Am J Roentgenol 188:726–732CrossRefPubMed
11.
Schooler GR, Zurakowski D, Lee EY (2015) Evaluation of contrast injection site effectiveness: thoracic CT angiography in children with hand injection of IV contrast material. AJR Am J Roentgenol 204:423–427CrossRefPubMed
12.
Hellinger JC, Pena A, Poon M et al (2010) Pediatric computed tomography angiography: imaging the cardiovascular system gently. Radiol Clin N Am 48:439–467CrossRefPubMed
13.
Lee CH, Goo JM, Bae KT et al (2007) CTA contrast enhancement of the aorta and pulmonary artery: the effect of saline chase injected at two different rates in a canine experimental model. Investig Radiol 42:487–490
14.
15.
Hartmann IJC, Lo RTH, Bakker J et al (2002) Optimal scan delay in spiral CT for the diagnosis of acute pulmonary embolism. J Comput Assist Tomogr 26:21–25CrossRefPubMed
16.
Frush DP, Soden B, Frush KS et al (2002) Improved pediatric multidetector body CT using a size-based color-coded format. AJR Am J Roentgenol 178:721–726CrossRefPubMed
17.
Nievelstein RAJ, van Dam IM, van der Molen AJ (2010) Multidetector CT in children: current concepts and dose reduction strategies. Pediatr Radiol 40:1324–1344CrossRefPubMedPubMedCentral
18.
Metadata
Title
Chest computed tomography angiography in children on extracorporeal membrane oxygenation (ECMO)
Authors
Nathan C. Hull
Gary R. Schooler
Larry A. Binkovitz
Eric E. Williamson
Phillip A. Araoz
Lifeng Yu
Philip M. Young
Publication date
01-07-2018
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 7/2018
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-017-4034-3

Other articles of this Issue 7/2018

Pediatric Radiology 7/2018 Go to the issue

Original Article

Increased risk of symptomatic upper-extremity venous thrombosis with multiple peripherally inserted central catheter insertions in pediatric patients

Original Article

Free-breathing quantification of hepatic fat in healthy children and children with nonalcoholic fatty liver disease using a multi-echo 3-D stack-of-radial MRI technique

Original Article

Comparison of ultrasound versus computed tomography for the detection of kidney stones in the pediatric population: a clinical effectiveness study

ESPR

The European Society of Paediatric Radiology launches European Diploma in Paediatric Radiology

Original Article

Nodular macroregenerative tissue as a pattern of regeneration in cholangiopathic disorders

Original Article

Severe nasomaxillary hypoplasia (Binder phenotype) on prenatal US/MRI: an important marker for the prenatal diagnosis of chondrodysplasia punctata