Why the study?
Does peripheral ECMO cannulation improve clinical outcomes or reduce complications compared to central ECMO cannulation in patients requiring veno-arterial ECMO support?
Population
37 patients requiring veno-arterial extracorporeal membrane oxygenation (ECMO) support for ≥24 hours
Comparison
Peripheral veno-arterial ECMO (pECMO) cannulation vs Central veno-arterial ECMO (cECMO) cannulation
Design
Cohort
Follow-up
30 days
Authors
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pECMO was associated with less bleeding but similar mortality; leaves open whether peripheral cannulation should be preferred in VA-ECMO.
Does peripheral ECMO cannulation improve clinical outcomes or reduce complications compared to central ECMO cannulation in patients requiring veno-arterial ECMO support?
Peripheral and central VA-ECMO provide comparable hemodynamic and end-organ support, but peripheral cannulation is associated with significantly lower rates of bleeding requiring re-exploration.
Saeed et al. (2014) studied this question.
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