Cranial sonography of the infant treated with extracorporeal membrane oxygenation

R. A. Bowerman, J. B. Zwischenberger, A. F. Andrews, R. H. Bartlett

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Neonates with severe but reversible pulmonary disease may require therapy beyond conventional ventilatory care. Extracorporeal membrane oxygenation (ECMO) serves as a temporary artificial lung for such infants. Since anticoagulation with systemic heparin is required in the extracorporeal circuit, antecedent hemorrhage may be exacerbated or new hemorrhage precipitated in ECMO patients. While the 'usual' periventricular/intraventricular hemorrhage seen in a premature infant may develop, contrasting hemorrhages of unusual extent, uncommon location, or demonstrating unique alterations in internal sonographic character may be precipitated, presumably due to the requisite anticoagulation. Representative examples of such variations are presented along with guidelines for the use of cranial sonography in selecting and monitoring ECMO patients.

Original languageEnglish
Pages (from-to)377-382
Number of pages6
JournalAmerican Journal of Neuroradiology
Volume6
Issue number3
StatePublished - 1985

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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