Laura Jane Steinberg MBBS, Presenter: Nothing to Disclose

Ashley Scrimshire MBBS, Abstract Co-Author: Nothing to Disclose

Lois Susan MacDonald MBBCHIR, FRCR, Abstract Co-Author: Nothing to Disclose

Alan Ashworth MBChB, Abstract Co-Author: Nothing to Disclose

Velauthan Rudralingham MBBS, Abstract Co-Author: Nothing to Disclose

Sathi Anandan Sukumar MD, Abstract Co-Author: Nothing to Disclose

The purpose of this exhibit is to: 1. Deliver an introduction to ECMO. 2. Present a pictorial review of the abdominal CT findings in adult patients on ECMO.

Introduction to ECMO Abdominal CT imaging techniques: Contrast injection and imaging protocol Pictorial Review: 1. Complications associated with ECMO; including procedural, renal and splenic infarcts, thromboses: including hepatic, renal and iliac veins and retroperitoneal haemorrhage. 2. Expected manifestations; including splenomegaly, periportal oedema, consolidation at the lung bases and ascites. 3. Primary abdominal pathologies leading to the requirement of ECMO; including pancreatitis and phaeochromocytoma. 4. Pitfalls; including dilution of contrast and changes in circulation dynamics leading to perfusional artefacts, with correlation to the operative or post mortem histology findings, where appropriate. This pictorial review will allow the Radiologist to discriminate between genuine pathology and artefact to ensure appropriate management of patients.

http://abstract.rsna.org/uploads/2014/14000668/14000668_l7ml.pdf

Steinberg, L, Scrimshire, A, MacDonald, L, Ashworth, A, Rudralingham, V, Sukumar, S, Abdominal Imaging Findings in Adult Patients on Extracorporeal Membrane Oxygenation (ECMO).  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14000668.html