Extracorporeal membrane oxygenation for XXXX during moyamoya cerebral revascularization surgery: case report.

@entity1 @entity64 @entity932 @entity2806 @entity2294 @entity7025 @entity1576 @entity1167 @entity2332
UNASSIGNED: The authors describe the case of a 51-year-old @entity1 with bilateral @entity7025 and prior @entity64 who developed an asystolic @entity1167 while undergoing revascularization surgery under mild @entity2332 . The @entity1 was successfully treated with venoarterial (VA) extracorporeal membrane oxygenation (ECMO) after manual cardiopulmonary resuscitation (CPR) was unsuccessful for 45 minutes. ECMO is a cardiopulmonary support system that is indicated for @entity1576 in pediatric and adult @entity1 . It is increasingly being used as an extension to mechanical CPR for @entity1 who have suffered @entity1167 if the underlying cause of @entity1167 is thought to be reversible. Identifying which @entity1 should be placed on emergency ECMO after @entity1167 is controversial given its high morbidity and mortality. ECMO in neurosurgical settings has associated risks of @entity932 and neurological compromise, while resource utilization is paramount given the high costs of this treatment. This paper is significant because it describes the use of ECMO in an unindicated setting. Limited data are available for ECMO usage after @entity1167 with baseline @entity2806 . Furthermore, this paper raises important considerations for extracorporeal CPR use in a @entity1 who had recently undergone craniotomy. The @entity1 in this report remained on ECMO for 48 hours, after which he was successfully weaned. He developed a @entity2294 and compartment syndrome from the ECMO but made a complete neurological recovery. Use of ECMO emergently in an appropriately chosen neurosurgical @entity1 is safe, even in the setting of baseline @entity2806 and recent craniotomy.
