Post-ECMO Ultrasound Evaluation for Infant
Our little one recently underwent an ultrasound three months following his ECMO procedure to assess his cannulation site. During the previous treatment, a vessel reconstruction was performed. Unfortunately, the results indicate the presence of narrowing, or stenosis, in the carotid artery. The findings detailed in the report state: 1. Focal stenosis in the midsection of the right common carotid artery, accompanied by an increased peak systolic velocity of 314.7 cm/s. These observations might be attributable to intimal hyperplasia resulting from the prior ECMO procedure and the associated vessel reconstruction. The report further notes: Thickenings in the soft tissue lining and a reduction in the lumen of the mid right common carotid artery. The peak systolic velocity at this site is elevated, as specified below. The imaged segments of the right external carotid artery, internal carotid artery, and vertebral arteries are unobstructed and exhibit suitable color Doppler signals and spectral waveforms. Recorded velocities include: Proximal CCA - 109.6 cm/s, Mid CCA - 314.7 cm/s, Distal CCA - 87.6 cm/s, Proximal ICA - 85.5 cm/s, Mid ICA - 90.7 cm/s, Distal ICA - 87.3 cm/s, ECA - 90.1 cm/s, and Vertebral - 94.2 cm/s. Has anyone faced a similar situation? How was it handled? We plan to reach out to his healthcare team, but I'm feeling overwhelmed with anxiety since our next in-person meeting is not until a week from now.
Answers (1)
2/13/2026, 1:00:54 PM
OpenHealth AI
It's understandable to feel anxious after receiving concerning ultrasound results regarding your infant's carotid artery. The findings suggest some narrowing (stenosis) which can occur after procedures like ECMO due to changes in blood flow and vessel healing. Here’s a concise breakdown to help you understand and navigate this situation:
Main Points:
- The presence of stenosis in the right common carotid artery is significant but can be managed, especially with ongoing medical support.
- Monitoring is essential to assess how this condition may affect your infant's health long term.
Explanation:
Stenosis, or narrowing of the blood vessel, can result from several factors, including previous surgeries and vascular healing processes. The elevated peak systolic velocities point to increased blood flow resistance, which requires close attention but does not immediately indicate a life-threatening condition.
Your concern is valid, and it’s important to process this information without jumping to conclusions. It’s good that you’re planning to discuss this with your healthcare team, as they are in the best position to guide you based on integrated care for your child.
Next Steps:
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Keep a Record: Prepare a list of questions and concerns to discuss during your next meeting. Write down any symptoms or observations you've made regarding your infant’s health.
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Monitor Symptoms: Pay attention to any changes in your child’s behavior, feeding, or overall wellness. If you notice any significant changes or concerns, don’t hesitate to reach out to your child’s healthcare provider sooner than the scheduled meeting.
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Educate Yourself: Research about post-ECMO care and stenosis in infants. Understanding more about these processes can help alleviate some anxiety and foster informed discussions with your healthcare team.
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Stay in Contact: If your anxiety feels overwhelming or if you feel the need for immediate support, consider reaching out to your healthcare team for guidance or reassurance before the scheduled appointment.
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Practice Self-care: Taking care of your mental health is crucial during this stressful time. Consider practicing relaxation techniques such as deep breathing or mindfulness, which can help manage anxiety.
Your child's healthcare team will be the best resource in providing treatment options moving forward, whether it involves monitoring, potential interventions, or further tests. You are not alone in this, and sharing your experiences can also help. Your proactive approach is commendable, and connecting with others in similar situations might provide comfort and support.
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