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Pediatric Radiology

, Volume 48, Issue 7, pp 1021–1030 | Cite as

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

  • Nathan C. Hull
  • Gary R. Schooler
  • Larry A. Binkovitz
  • Eric E. Williamson
  • Phillip A. Araoz
  • Lifeng Yu
  • Philip M. Young
Pictorial Essay

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.

Keywords

Chest Children Computed tomography Computed tomography angiography Extracorporeal membrane oxygenation (ECMO) 

Notes

Acknowledgements

The authors would like to give special thanks to clinical perfusionist Tiffany Robb for her contribution to this article.

Compliance with ethical standards

Conflicts of interest

None

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2017

Authors and Affiliations

  • Nathan C. Hull
    • 1
  • Gary R. Schooler
    • 2
  • Larry A. Binkovitz
    • 1
  • Eric E. Williamson
    • 1
  • Phillip A. Araoz
    • 1
  • Lifeng Yu
    • 1
  • Philip M. Young
    • 1
  1. 1.Department of Radiology, Mayo Clinic, Division of Cardiovascular RadiologyRochesterUSA
  2. 2.Department of Radiology, Duke Children’s Health CenterDuke University Medical CenterDurhamUSA

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