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  • Biancari, FaustoHelsinki University Central Hospital,University of Helsinki (author)

Central versus Peripheral Postcardiotomy Veno-Arterial Extracorporeal Membrane Oxygenation : Systematic Review and Individual Patient Data Meta-Analysis

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2022-12-14
  • MDPI AG,2022

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:68d27632-d6e4-4527-915e-d40642fe6e35
  • https://lup.lub.lu.se/record/68d27632-d6e4-4527-915e-d40642fe6e35URI
  • https://doi.org/10.3390/jcm11247406DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:151521283URI

Supplementary language notes

  • Language:English
  • Summary in:English

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Classification

  • Subject category:for swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • Background: It is unclear whether peripheral arterial cannulation is superior to central arterial cannulation for postcardiotomy veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Methods: A systematic review was conducted using PubMed, Scopus, and Google Scholar to identify studies on postcardiotomy VA-ECMO for the present individual patient data (IPD) meta-analysis. Analysis was performed according to the intention-to-treat principle. Results: The investigators of 10 studies agreed to participate in the present IPD meta-analysis. Overall, 1269 patients were included in the analysis. Crude rates of in-hospital mortality after central versus peripheral arterial cannulation for VA-ECMO were 70.7% vs. 63.7%, respectively (adjusted OR 1.38, 95% CI 1.08–1.75). Propensity score matching yielded 538 pairs of patients with balanced baseline characteristics and operative variables. Among these matched cohorts, central arterial cannulation VA-ECMO was associated with significantly higher in-hospital mortality compared to peripheral arterial cannulation VA-ECMO (64.5% vs. 70.8%, p = 0.027). These findings were confirmed by aggregate data meta-analysis, which showed that central arterial cannulation was associated with an increased risk of in-hospital mortality compared to peripheral arterial cannulation (OR 1.35, 95% CI 1.04–1.76, I2 21%). Conclusions: Among patients requiring postcardiotomy VA-ECMO, central arterial cannulation was associated with an increased risk of in-hospital mortality compared to peripheral arterial cannulation. This increased risk is of limited magnitude, and further studies are needed to confirm the present findings and to identify the mechanisms underlying the potential beneficial effects of peripheral VA-ECMO.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Kaserer, Alexander (author)
  • Perrotti, AndreaUniversity Hospital Jean Minjoz (author)
  • Ruggieri, Vito G.Robert Debré University Hospital,University Hospital Of Trieste (author)
  • Cho, Sung MinJohns Hopkins University School of Medicine (author)
  • Kang, Jin KookJohns Hopkins University School of Medicine (author)
  • Dalén, MagnusKarolinska Institutet,Karolinska University Hospital (author)
  • Welp, HenrykUniversity Hospital Münster (author)
  • Jónsson, KristjánSahlgrenska University Hospital (author)
  • Ragnarsson, SigurdurLund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Heparinbindande protein inom thoraxkirurgi,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Heparin bindning protein in cardiothoracic surgery(Swepub:lu)med-sdr (author)
  • Hernández Pérez, Francisco J.University Hospital Puerta de Hierro (author)
  • Gatti, GiuseppeUniversity Hospital Of Trieste (author)
  • Alkhamees, KhalidPrince Sultan Cardiac Center (author)
  • Loforte, AntonioSt. Orsola-Malpighi University Hospital (author)
  • Lechiancole, AndreaUniversity Hospital of Udine (author)
  • Rosato, Stefano (author)
  • Spadaccio, CristianoMayo Clinic Minnesota (author)
  • Pettinari, MatteoHospital Oost-Limburg (author)
  • Fiore, AntonioHenri Mondor Hospital (author)
  • Mäkikallio, TimoUniversity of Helsinki (author)
  • Sahli, Sebastian D. (author)
  • L’Acqua, CamillaIstituto Nazionale dei Tumori,Centro Cardiologico Monzino (author)
  • Arafat, Amr A.Prince Sultan Cardiac Center,Tanta University (author)
  • Albabtain, Monirah A.Prince Sultan Cardiac Center (author)
  • AlBarak, Mohammed M.Prince Sultan Cardiac Center (author)
  • Laimoud, MohamedCairo University,King Faisal Specialist Hospital and Research Centre (author)
  • Djordjevic, IlijaUniversity Hospital of Cologne (author)
  • Krasivskyi, IhorUniversity Hospital of Cologne (author)
  • Samalavicius, RobertasVilnius University (author)
  • Puodziukaite, LinaVilnius University (author)
  • Alonso-Fernandez-Gatta, MartaUniversity Hospital of Salamanca,Carlos III Health Institute (author)
  • Wilhelm, Markus J. (author)
  • Mariscalco, GiovanniGlenfield Hospital (author)
  • Helsinki University Central HospitalUniversity of Helsinki (creator_code:org_t)

Related titles

  • In:Journal of Clinical Medicine: MDPI AG11:242077-0383

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