Scientific article
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Extracorporeal Membrane Oxygenation After Liver Transplant in Children : A Review of the ELSO Registry

Published inASAIO journal, vol. 70, no. 7, p. 621-624
Publication date2024-07-01
First online date2024-03-08
Abstract

There are minimal data describing use of extracorporeal membrane oxygenation (ECMO) in pediatric patient after a liver transplantation (LT). This study aimed at describing ECMO run in this specific situation using the data from Extracorporeal Life Support Organization (ELSO) Registry between January 1, 2010, to December 31, 2022. We described patients' characteristics at ECMO initiation, outcome and mortality risk factors. We identified 27 patients with a median age of 2.7 years (interquartile range (IQR) = 1.5-9.9). Main indication for ECMO support was respiratory (14/27 [52%]) followed by extracorporeal cardiopulmonary resuscitation (ECPR) (7/27 [26%]) and cardiac (6/27 [22%]). Overall in-hospital mortality was 63% (17/27). Mortality rate according to ECMO indications was 50% for both respiratory and cardiac failure and reached 100% for ECPR patients. Overall, nonsurvivors experienced significantly more complications under ECMO support ( p = 0.007). Main on-ECMO complications were hemorrhagic (11/27 [41%]) and thrombotic (7/27 [26%]). No clinical or biologic factors was predictive of patients' outcome. Our results suggest that ECMO support is a viable option for cardiac and respiratory indications after pediatric LT. Occurrence of complications while on ECMO are associated with unfavorable outcomes. The extremely high mortality rate in ECPR patients merits further research.

Keywords
  • Humans
  • Extracorporeal Membrane Oxygenation / methods
  • Extracorporeal Membrane Oxygenation / adverse effects
  • Liver Transplantation / adverse effects
  • Liver Transplantation / methods
  • Registries / statistics & numerical data
  • Child, Preschool
  • Child
  • Male
  • Infant
  • Female
  • Hospital Mortality
  • Retrospective Studies
Citation (ISO format)
DI NARDO, Matteo et al. Extracorporeal Membrane Oxygenation After Liver Transplant in Children : A Review of the ELSO Registry. In: ASAIO journal, 2024, vol. 70, n° 7, p. 621–624. doi: 10.1097/MAT.0000000000002183
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Identifiers
Journal ISSN1058-2916
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Creation14/10/2025 08:00:09
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Update26/11/2025 09:58:00
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