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DOI:10.2214/AJR.04.1672
AJR 2006; 186:58-66
© American Roentgen Ray Society


Review

The Role of Imaging During Extracorporeal Membrane Oxygenation in Pediatric Respiratory Failure

Alex M. Barnacle1, Liz C. Smith2 and Melanie P. Hiorns1

1 Department of Radiology, Great Ormond Street Hospital for Children, Great Ormond St., London WC1N 3JH, England.
2 ECMO Coordinator, Great Ormond Street Hospital for Children, London WC1N 3JH, England.

OBJECTIVE. Extracorporeal membrane oxygenation (ECMO) is increasingly widely used in pediatric respiratory failure. Despite playing a key part in patient management during ECMO, the role of radiology is not widely reported. We discuss the principles of ECMO support and the normal imaging appearances. Radiologic findings arising from the complications of ECMO are highlighted.

CONCLUSION. Radiology has a central role in establishing well-designed imaging protocols and vigilant reporting of ECMO apparatus positions and complications.

Keywords: catheters • chest • ECMO • neonates • pediatric radiology • respiratory failure


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