Document Type

Article

Publication Date

5-1-2012

Comments

This article has been peer reviewed. It is the authors' final version prior to publication in The Journal of Thoracic and Cardiovascular Surgery

Volume 143, Issue 5, May 2012, Pages, 1221-1222.

The published version is available at . DOI: http://dx.doi.org/10.1016/j.jtcvs.2011.10.067. Copyright © Elsevier Inc.

Abstract

Hemorrhagic complications on extracorporeal membrane oxygenation (ECMO) are common because of the need for anticoagulation to maintain the oxygenator and circuitry. Gastrointestinal bleeding (GIB) is reported to occur in 3-6% of ECMO patients, 1 requiring frequent transfusions as well as multiple diagnostic and therapeutic interventions. Multiple transfusions can result in volume overload, coagulopathies and infections leading to significant morbidity and mortality. We present the first published case of GIB from an arteriovenous malformation (AVM) treated with a novel therapy termed spiral enteroscopy while the patient remained on venoarterial (VA) ECMO.

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