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  • Open Access

    CASE REPORT

    Carotid Artery Pseudoaneurysm in a Pediatric Patient Following ECMO: Management with Carotid Artery Ligation and Pseudoaneurysm Resection under Balloon Occlusion-Guided DSA

    Yaqi Zhang1,#, Liang Hu1,#, Yuxi Zhang1, Bo Qian1, Jirong Qi1,2, Wei Peng1,2,*

    Congenital Heart Disease, Vol.20, No.1, pp. 55-60, 2025, DOI:10.32604/chd.2025.063072 - 18 March 2025

    Abstract Background: Carotid artery pseudoaneurysm in children is rare; typically caused by trauma; surgical interventions and infection. These aneurysms can lead to significant neurological and vascular risks; and their management remains challenging. While endovascular therapy has become the standard for giant pseudoaneurysms in adults; its use in children is limited. No established guidelines or long-term safety data exist for pediatric endovascular treatment. We present a child who developed a carotid artery pseudoaneurysm after venoarterial extracorporeal membrane oxygenation (VA-ECMO) support and heart transplantation; highlighting the management strategies and outcomes. Case Description: A 4-year-old boy with dilated cardiomyopathy was admitted… More >

  • Open Access

    REVIEW

    Use of Impella cardiac axial flow pump for cardiogenic shock (A newer alternative)–How good is the evidence?

    RAFIQ AHMED BHAT1, SYED MANZOOR ALI2, YOOSUF ALI ASHRAF MUHAMMAD HUSSENBOCUS3, AKANKSHA RATHI4, JAVAID AKHTER BHAT5, ABDUL ALEEM KHAN6, SYED MAQBOOL2, RAJA SAQIB IQBAL7, MD MONOWARUL ISLAM8, YONGSHENG QU9, YOU ZHANG9, YUXIAO SUN1, WENTAO XIAO9, ABHISHEK TIBREWAL10, CHUANYU GAO1,*

    BIOCELL, Vol.46, No.5, pp. 1139-1150, 2022, DOI:10.32604/biocell.2022.016833 - 06 January 2022

    Abstract The adverse outcomes of a ventricular heart failure (left, right or biventricular) caused by cardiogenic shock are aggravated by lung oedema and organ mal perfusion. Despite advances in medical sciences, revascularisation and mechanical hemodynamic support have proved ineffective in reducing the mortality rate in such patients. A thorough study of the data available about cardio-vascular diseases reveals that the application of conventional methods of treatment are least helpful to practically restore normal functions of heart when it experiences end-stage systolic ventricular failure. Thus, to overcome the challenges and find alternatives to address this issue, percutaneous… More >

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