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Central versus Peri...
Central versus Peripheral Postcardiotomy Veno-Arterial Extracorporeal Membrane Oxygenation : Systematic Review and Individual Patient Data Meta-Analysis
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- Biancari, Fausto (author)
- University of Helsinki,Helsinki University Central Hospital
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Kaserer, Alexander (author)
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- Perrotti, Andrea (author)
- University Hospital Jean Minjoz
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- Ruggieri, Vito G. (author)
- Robert Debré University Hospital,University Hospital Of Trieste
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- Cho, Sung Min (author)
- Johns Hopkins University School of Medicine
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- Kang, Jin Kook (author)
- Johns Hopkins University School of Medicine
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- Dalén, Magnus (author)
- Karolinska Institutet,Karolinska University Hospital
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- Welp, Henryk (author)
- University Hospital Münster
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- Jónsson, Kristján (author)
- Sahlgrenska University Hospital
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- Ragnarsson, Sigurdur (author)
- Lund 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
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- Hernández Pérez, Francisco J. (author)
- University Hospital Puerta de Hierro
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- Gatti, Giuseppe (author)
- University Hospital Of Trieste
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- Alkhamees, Khalid (author)
- Prince Sultan Cardiac Center
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- Loforte, Antonio (author)
- St. Orsola-Malpighi University Hospital
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- Lechiancole, Andrea (author)
- University Hospital of Udine
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Rosato, Stefano (author)
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- Spadaccio, Cristiano (author)
- Mayo Clinic Minnesota
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- Pettinari, Matteo (author)
- Hospital Oost-Limburg
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- Fiore, Antonio (author)
- Henri Mondor Hospital
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- Mäkikallio, Timo (author)
- University of Helsinki
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Sahli, Sebastian D. (author)
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- L’Acqua, Camilla (author)
- Istituto Nazionale dei Tumori,Centro Cardiologico Monzino
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- Arafat, Amr A. (author)
- Prince Sultan Cardiac Center,Tanta University
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- Albabtain, Monirah A. (author)
- Prince Sultan Cardiac Center
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- AlBarak, Mohammed M. (author)
- Prince Sultan Cardiac Center
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- Laimoud, Mohamed (author)
- Cairo University,King Faisal Specialist Hospital and Research Centre
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- Djordjevic, Ilija (author)
- University Hospital of Cologne
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- Krasivskyi, Ihor (author)
- University Hospital of Cologne
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- Samalavicius, Robertas (author)
- Vilnius University
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- Puodziukaite, Lina (author)
- Vilnius University
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- Alonso-Fernandez-Gatta, Marta (author)
- Carlos III Health Institute,University Hospital of Salamanca
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Wilhelm, Markus J. (author)
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- Mariscalco, Giovanni (author)
- Glenfield Hospital
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(creator_code:org_t)
- 2022-12-14
- 2022
- English.
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In: Journal of Clinical Medicine. - : MDPI AG. - 2077-0383. ; 11:24
- Related links:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.3...
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http://kipublication...
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Abstract
Subject headings
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- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- cardiac surgery
- central
- ECMO
- extracorporeal membrane oxygenation
- peripheral
- postcardiotomy
Publication and Content Type
- for (subject category)
- ref (subject category)
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- By the author/editor
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Biancari, Fausto
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Kaserer, Alexand ...
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Perrotti, Andrea
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Ruggieri, Vito G ...
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Cho, Sung Min
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Kang, Jin Kook
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show more...
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Dalén, Magnus
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Welp, Henryk
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Jónsson, Kristjá ...
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Ragnarsson, Sigu ...
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Hernández Pérez, ...
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Gatti, Giuseppe
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Alkhamees, Khali ...
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Loforte, Antonio
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Lechiancole, And ...
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Rosato, Stefano
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Spadaccio, Crist ...
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Pettinari, Matte ...
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Fiore, Antonio
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Mäkikallio, Timo
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Sahli, Sebastian ...
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L’Acqua, Camilla
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Arafat, Amr A.
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Albabtain, Monir ...
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AlBarak, Mohamme ...
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Laimoud, Mohamed
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Djordjevic, Ilij ...
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Krasivskyi, Ihor
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Samalavicius, Ro ...
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Puodziukaite, Li ...
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Alonso-Fernandez ...
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Wilhelm, Markus ...
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Mariscalco, Giov ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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Journal of Clini ...
- By the university
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Lund University
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Karolinska Institutet