Publications by authors named "Ashley B Walczak"

Background: Highly sensitized pediatric patients awaiting heart transplantation experience longer wait times and thus higher waitlist mortality. Similarly, children less than 2 years of age have increased waitlist times and mortality when compared to their older peers. To improve the likelihood of successful transplantation in these patients, various strategies have been utilized, including peri-operative plasmapheresis.

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The Crescent dual lumen right atrial (RA) cannula has recently been introduced for the support of pediatric patients in need of venovenous extracorporeal membrane oxygenation (VV ECMO) support. We present the first pediatric case series illustrating utility of the Crescent RA cannula in the pediatric patient population at a single institution over a 10 month period. From December 2021 to August 2022, six pediatric patients were adequately supported on seven VV ECMO runs at our institution with the Crescent RA cannula.

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Article Synopsis
  • Cardiopulmonary bypass practices in pediatric patients are evolving, driven by new technologies and techniques, with a focus on gathering updated international data since 2016.
  • A recent survey in July 2021 garnered responses from 153 of 284 pediatric cardiac surgery centers worldwide, reflecting a diverse range of practices in equipment and techniques.
  • Key findings include widespread use of roller head pumps (93%), hollow fiber oxygenators (86%), and selective antegrade cerebral perfusion (92%), indicating significant trends and variations in pediatric perfusion practices globally.
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A diverse and equitable working environment is desirable. In 2011, a survey was distributed to all female perfusionists in the United States. This survey suggested that the female perfusionists share the same difficulties as women in the labor force.

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