Outcomes of extracorporeal membrane oxygenation cannulation strategy in lung transplantation: A retrospective cohort study

Extracorporeal membrane oxygenation (ECMO) with different cannulation strategies is determined according to surgical position and patient condition. However, no cannulation guidelines have been proposed. This retrospective study assessed the outcomes of diverse ECMO cannulation strategies in patient...

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Bibliographic Details
Published in:Asian journal of surgery 2024-08
Main Authors: Li, Jiayang, Long, Bu, Xie, Wenjie, Zhang, Yaoliang, Yang, Chao, Liu, Mengyang, Xu, Xin, Lan, Lan
Format: Article
Language:English
Subjects:
Ascending aorta-femoral vein-ECMO
Axillary artery-femoral vein-ECMO
Extracorporeal membrane oxygenation
Femoral artery-femoral vein-ECMO
Lung transplantation
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Summary:Extracorporeal membrane oxygenation (ECMO) with different cannulation strategies is determined according to surgical position and patient condition. However, no cannulation guidelines have been proposed. This retrospective study assessed the outcomes of diverse ECMO cannulation strategies in patients undergoing lung transplantation (LTx). Data of patients undergoing intraoperative veno-arterial ECMO-assisted LTx were retrospectively collected from December 1st, 2015 to October 31st, 2021. Patients were classified into three groups based on the different cannulation strategies: femoral artery-femoral vein (F–F)-ECMO, axillary artery-femoral vein (A-F)-ECMO, and ascending aorta-femoral vein (AAO-F)-ECMO. The F-F-ECMO, A-F-ECMO, and AAO-F-ECMO groups comprised 34, 44, and 30 patients, respectively. The AAO-F-ECMO group exhibited a significantly shorter duration of postoperative ECMO therapy (3 vs. 2 vs. 0 days, P 
ISSN:1015-9584
DOI:10.1016/j.asjsur.2024.08.073