Kuttnig-Haim M
University of Graz
Network
Latest external collaboration on country level. Dive into details by clicking on the dots.
Publication
Featured researches published by Kuttnig-Haim M.
The Journal of Pediatrics | 1996
Berndt Urlesberger; Gerfried Zobel; Zenz W; Kuttnig-Haim M; Maurer U; F. Reiterer; Michael Riccabona; Drago Dacar; Siegfried Gallistl; Bettina Leschnik; Wolfgang Muntean
OBJECTIVES To determine the degree of clotting activation that occurs with the usual anticoagulation regimen with systemic heparinization. METHODS To allow a standardized comparison of the patients, this study focused on the first 48 hours of extracorporeal membrane oxygenation (ECMO) in term newborn infants. The ECMO perfusion circuit consisted of a roller pump, silicone membrane lungs, and silicone rubber tubing. Coagulation was controlled routinely by measuring prothrombin time, fibrinogen, antithrombin III, and reptilase time. Platelet counts, activated clotting time, and heparin concentration were controlled regularly. The following specific activation markers of the clotting system were measured: prothrombin activation fragment 1 + 2(F1+2), thrombin-antithrombin III complexes, and D-dimer. Measurements were done before the start of ECMO, after 5 minutes, and at hours 1, 2, 3, 4, 6, 12, 24 and 48. RESULTS All seven term infants had excessively high levels of clotting activation markers within the first 2 hours of ECMO: F1+2, 11.6(+/- O.9) nmol/L (mean +/- SEM); thrombin-antithrombin, 920(+/- 2.2) microg/L; D-dimer, 15.522(+/- 3.689) ng/L. During the next 46 hours of ECMO, F1+2 and thrombin-antithrombin III complexes decreased from those high values, whereas D-dimer did not. The increase of activation markers was accompanied by low fibrinogen, low platelet counts. and prolongation of reptilase time. CONCLUSIONS These findings fit the pattern of consumptive coagulopathy during neonatal ECMO, especially in the first 24 hours.
European Radiology | 1997
Michael Riccabona; Kuttnig-Haim M; Drago Dacar; Berndt Urlesberger; F. Reiterer; Maurer U; Gerfried Zobel
The purpose of our study was to evaluate thrombosis of venous vessels during and after extracorporeal membrane oxygenation (ECMO) using color Doppler sonography. We prospectively performed serial color Doppler sonography investigations in 30 ECMO patients [age: newborn to 3 years, male:female = 20:10, venoarterial (VA) ECMO = 18, venovenous (VV) ECMO = 12]. During ECMO obstruction and/or thrombosis of the superior vena cava (SVC) was observed in 2 neonates on VA ECMO. Furthermore, a thrombotic clot from an initially open duct of Arantii with partial portal vein thrombosis, reaching into the inferior vena cava (IVC), occurred despite adequate heparinization. After ECMO, late septic SVC thrombus occurred in one neonate. IVC thrombus was observed in two pediatric VV ECMO patients. The overall incidence of venous clots was 20 % (6 of 30). Routine color Doppler sonography monitoring of vessels in children on and after ECMO was found to be useful for early detection of venous thrombosis. It enabled consequent administration of appropriate therapy as well as follow-up after decannulation and reconstruction.
Pediatric Radiology | 1995
Michael Riccabona; Drago Dacar; Gerfried Zobel; Kuttnig-Haim M; Ute Maurer; Berndt Urlesberger; F. Reiterer
Drainage problems due to catheter malpositioning are acutely life-threatening in patients undergoing extracorporeal membrane oxygenation. In order to reduce these complications we introduced sonographically guided catheter positioning. We compare the outcome in a group of patients with blind cannula positioning to that in a group with sonographically guided catheter positioning. Our results show that neonates and young infants especially are at high risk of drainage problems due to catheter malposition and that their outcome could be markedly improved by introducing sonographically guided cannula insertion.
Pediatrics | 1992
Herwig Lackner; Wolfgang Schwinger; Christian Urban; W. Müller; E. Ritschl; F. Reiterer; Kuttnig-Haim M; Berndt Urlesberger; Hauer C
Critical Care | 1998
S Rödi; Gerfried Zobel; Berndt Urlesberger; E. Ring; Kuttnig-Haim M
Wiener Klinische Wochenschrift | 1998
W. Müller; Berndt Urlesberger; Maurer U; Kuttnig-Haim M; F. Reiterer; Moradi G; Gerhard Pichler
Wiener Klinische Wochenschrift | 1997
F. Reiterer; Kuttnig-Haim M; Gerfried Zobel; Berndt Urlesberger; Maurer U; Michael Riccabona; Drago Dacar; W. Müller
Klinische Padiatrie | 1994
F. Reiterer; Kuttnig-Haim M; Maurer U; Berndt Urlesberger; M. Ricabbona; Gerfried Zobel; Wilhelm Müller; Drago Dacar
Wiener Klinische Wochenschrift | 1995
Gerfried Zobel; Kuttnig-Haim M; Decar D; Berndt Urlesberger; Michael Riccabona; F. Reiterer; Maurer U; Ingeborg Friehs; Jutta Berger; Trop M
Wiener Klinische Wochenschrift | 1994
F. Reiterer; Kuttnig-Haim M; W. Müller