Lessons Learned From the First-In-Human Compassionate Use of Connect-EA™ in Ten Patients With Esophageal Atresia

jpedsurg.org

Delayed primary repair of esophageal atresia in patients with high-risk physiologic and anatomic comorbidities remains a daunting challenge with an increased risk for peri-operative morbidity and mortality via conventional repair. The Connect-EA device facilitates the endoscopic creation of a secure esophageal anastomosis. This follow-up study reports our long-term outcomes with the novel esophageal magnetic compression anastomosis (EMCA) Connect-EA device for EA repair, as well as lessons learned from the ten first-in-human cases.

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Article · Sep 2023 · 1 min read

In brief

This study reports long-term outcomes from the first ten compassionate-use cases of the Connect-EA device, which enables endoscopic magnetic compression anastomosis for esophageal atresia repair. The novel approach offers an alternative to conventional surgery in high-risk patients with complex anatomic and physiologic comorbidities.

Connect-EA device enables endoscopic magnetic compression anastomosis for esophageal atresia repair in high-risk patients.
EMCA technique may reduce peri-operative morbidity/mortality compared to conventional surgical repair in complex EA cases.
First-in-human series demonstrates feasibility of magnetic anastomosis as alternative to delayed primary repair.
Device creates secure esophageal anastomosis without traditional open surgical approach in anatomically challenging cases.
Long-term outcomes from 10 compassionate-use cases provide early safety and efficacy data for novel EA repair method.

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