Anticoagulation-free VV-ECMO for a child with intractable pulmonary hemorrhage: A case report

Alexandra Cummings, Kristina Murphy, Richard D. Glick, Christian McEvoy, Marcia Zinger, Grace Fisler, Department of Pediatrics, Cohen Children, s Medical Center, New Hyde Park, Division of Pediatric Critical Care Medicine, New Hyde Park, Division of Pediatric Surgery, Cohen Children, s Medical Center, New Hyde Park, Divison of Pediatric Surgery, Naval Medical Center San Diego, San Diego, Department of Surgery, Uniformed Services University of the Health Sciences

Perfusion

Published online on November 03, 2025

Abstract

Perfusion, Ahead of Print.
IntroductionSystemic anticoagulation (AC) is standard practice in extracorporeal membrane oxygenation (ECMO). Adults on ECMO have been successfully managed AC-free. However, slower flow rates in pediatric circuits have mostly prevented this strategy. Thus,...