Predictors of Brain Infarction in Pediatric Patients During Extracorporeal Membrane Oxygenation

Brain infarction was more common than in most prior reports and was associated with high short-term mortality. VA ECMO mode, compared with venovenous ECMO, and higher pre-ECMO arterial lactate were independent predictors of BI. These findings support enhanced, standardized neurological monitoring and a liberal early brain CT strategy in pediatric ECMO patients, particularly those supported with VA ECMO.

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Publication Details

Journal
Artificial Organs
Published
2026-03-27
DOI
https://doi.org/10.1111/aor.70115
Primary Topic
Mechanical Circulatory Support Devices
Type
article
Field-Weighted Citation Impact
0.00
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article

Predictors of Brain Infarction in Pediatric Patients During Extracorporeal Membrane Oxygenation

J Berner, Sarah Kopfer, Lars Mikael Broman, Thomas Fux et al.
Artificial Organs
Mechanical Circulatory Support Devices
article

Predictors of Brain Infarction in Pediatric Patients During Extracorporeal Membrane Oxygenation

J Berner, Sarah Kopfer, Lars Mikael Broman, Thomas Fux, Riccardo Iacobelli, Alexander Fletcher‐Sandersjöö, Sara Wood Schalling
article en

Abstract

Brain infarction was more common than in most prior reports and was associated with high short-term mortality. VA ECMO mode, compared with venovenous ECMO, and higher pre-ECMO arterial lactate were independent predictors of BI. These findings support enhanced, standardized neurological monitoring and a liberal early brain CT strategy in pediatric ECMO patients, particularly those supported with VA ECMO.

Artificial Organs
Karolinska University Hospital (SE), Karolinska Institutet (SE), Visby lasarett (SE)
Good health and well-being
Openalex Percentile: Top 6%
Mechanical Circulatory Support Devices
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