Semin Fetal Neonatal Med
. 2025 Sep 2:101659.
doi: 10.1016/j.siny.2025.101659. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/40946040/
Optimizing ECLS strategies in the management of congenital diaphragmatic hernia: Recent advances and best practices
Kylie I Holden 1, Devin Saljuud 1, Kevin Johnson 2, Matthew T Harting 3
Affiliations Expand
- PMID: 40946040
- DOI: 10.1016/j.siny.2025.101659
Abstract
Infants with congenital diaphragmatic hernia (CDH) face severe pulmonary hypoplasia, pulmonary hypertension, and cardiac dysfunction, making it one of the most challenging neonatal conditions to manage. Advances in extracorporeal life support (ECLS) have the potential to significantly improve outcomes for the most severe infants with CDH. There has been significant evolution in indications, technology, and clinical strategies which have enhanced its role and improved early stabilization, management, and outcomes. While ECLS remains the foundational management strategy for the most challenging and highest-risk CDH patients, there remains no standard, evidence-based, or widely adopted approach, with variability across centers and ongoing equipoise regarding the optimal timing and criteria, highlighting the need for the development of evidence, further understanding, and refined approaches in CDH. In this review, we highlight recent advances and progressive approaches to ECLS in CDH.
Keywords: CDH repair; CDH study group; Center volume; Congenital diaphragmatic hernia; Diaphragm repair; Outcomes; Registry.
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