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. Author manuscript; available in PMC: 2013 May 16.
Published in final edited form as: Pediatr Crit Care Med. 2011 Nov;12(6):e427–e432. doi: 10.1097/PCC.0b013e3182192c96

Table 1. Retrospective studies on paediatric ECMO and open lung biopsies.

Series Sebire, 2005 [27] Eulmesekian, 2005 [25] Inwald, 2004 [23] Tibbals, 2002 [26] Cassidy, 2002 [22] Ryan, 1998 [28] Bond, 1996 [29]
Method Retrospective study,
UK
Retrospective study,
single institution, UK
Retrospective study,
single institution, UK
Retrospective study,
single institution,
Australia
Retrospective study, 4
ECMO centers, UK
Extracorporeal Life
Organization Registry
(ELSO)
Retrospective study,
single institution,
Kentucky
Period of time 7 years (1996-2003) 6 years (1997-2002) 6 years (1996-2002) 18 years (1982-2000) 3 years (1997-2000)
2,132,525 infants
born in the UK
8 years (1986-1994) 6 years (1989-1995)
Ascertainment children receiving
ECMO in whom open
lung biopsy was
carried out
neonates with
histological proven
ACD/MVP and review
of all ECMO and/or
open lung biopsy
cases
children referred for
and placed on ECMO
who also underwent
open lung biopsy
(before or during
ECMO)
infants admitted to a
paediatric intensive
care with a diagnosis
of PPHN
full term neonates
with acute hypoxemic
respiratory failure
treated with ECMO
newborns who had
open lung biopsies
while receiving ECMO
all neonatal and
paediatric patients
who had an open lung
biopsy while on ECMO
ECMO 22 children 9 neonates 506 referred and 310
patients placed on
ECMO, of whom
136 neonates
13 neonates 173 neonates 6000 neonatal ECMO 213 patients
Open lung biopsy 12 neonates 10 neonates 15/506 patients
8/136 neonates
N/A 5/173 neonates 18/6000 neonates 8/213, of whom
4 neonates
Number of alveolar
capillary dyplasia
(ACD)
3/12 ACD 7 ACD 3/8 ACD 6/13 ACD 5/173 ACD 2/18 ACD 0/4 ACD
ACD mortality N/A 7/7 3/3 6/6 5/5 2/2 N/A
Global mortality in
the series
N/A 7/7 N/A 7/13 (54%) 36/173 (20%) N/A N/A
Premortem diagnosis
of ACD
N/A 6/7 N/A 2/6 3/5 N/A N/A
Autopsy rate N/A N/A N/A 100% (7/7) 56% N/A N/A

PPHN= persistent pulmonary hypertension of the newborn, ECMO= extracorporeal membrane oxygenation, N/A= not available or not applicable