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Cardiac Catheterization in Critically Ill Pediatric Patients Supported With Extracorporeal Membrane Oxygenation: A

Luisa M Parra-Rodas1, Ana C Duran-Bustamente1, Guillermo Aristizabal-Villa2

  • 1Pediatric Cardiology Program, Universidad Pontificia Bolivariana, Medellín, Colombia.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|November 20, 2025
PubMed

Insights

Cardiac catheterization during extracorporeal membrane oxygenation (ECMO) is feasible and safe in pediatric congenital heart disease patients. Procedures were often performed early and included interventions, supporting its role in selected cases.

Area of Science:

  • Pediatric Cardiology
  • Interventional Cardiology
  • Extracorporeal Membrane Oxygenation

Background:

  • Cardiac catheterization during ECMO is increasingly utilized for pediatric congenital heart disease.
  • Evidence from Latin American populations is limited.

Purpose of the Study:

  • To evaluate the feasibility and safety of cardiac catheterization during ECMO in pediatric patients with congenital heart disease.
  • To assess outcomes including interventions, complications, and survival.

Main Methods:

  • Retrospective, single-center cohort study.
  • Included pediatric patients (<18 years) on ECMO support.
  • Collected demographic and procedural data; outcomes analyzed.

Main Results:

  • 51 of 140 ECMO patients (36%) underwent 59 cardiac catheterizations.
  • 92% had complex congenital heart disease; 64% had transcatheter interventions.
  • Survival to discharge was 43%; major complications were infrequent (3%).

Conclusions:

  • Cardiac catheterization during ECMO is feasible and safe in this pediatric cohort.
  • Procedures were performed early and often included interventions.
  • Catheterization provided crucial diagnostic/therapeutic information, supporting its role in selected ECMO patients.
Abstract

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