![]() 2017 20:S11-8.ĭanial P, Hajage D, Nguyen LS, Mastroianni C, Demondion P, Schmidt M, et al. Cannulation strategies in adult veno-arterial and veno-venous extracorporeal membrane oxygenation: techniques, limitations, and special considerations. Jayaraman AL, Cormican D, Shah P, Ramakrishna H. Veno-arterial extracorporeal membrane oxygenation for cardiogenic shock: an introduction for the busy clinician. © 2023 International Center for Artificial Organ and Transplantation (ICAOT) and Wiley Periodicals LLC.Įckman PM, Katz JN, El Banayosy A, Bohula EA, Sun B, van Diepen S. Percutaneous decannulation with the Manta vascular closure device is an effective and safe procedure that should be considered in suitable patients on VA-ECMO.ĮCMO decannulation meta-analysis percutaneous systematic review. No patient required lower limb amputation or died due to VA-ECMO decannulation. The overall incidence of bleeding, vascular and wound complications was 1.7%, 13.8%, and 3.4%, respectively. The overall technical success of percutaneous decannulation of VA-ECMO with the Manta vascular closure device was 93.7%. We included seven studies with a total of 116 patients. We performed a meta-analysis of proportions on outcome measures, including technical success, bleeding complications, vascular complications, wound complications, major amputation, and procedural-related deaths. ![]() We included studies that reported outcomes after peripheral femorofemoral VA-ECMO decannulation with the Manta vascular closure device. We performed a thorough literature search using various electronic databases. The Manta vascular closure device is a dedicated device used in the closure of large-bore arteriotomies by sandwiching the arteriotomy with an intra-arterial toggle and an extraluminal collagen plug. After percutaneous implantation of VA-ECMO, VA-ECMO can also be decannulated completely percutaneously by using a vascular closure device. Peripheral VA-ECMO can be used to treat critically ill patients with conditions such as refractory cardiogenic shock. ![]() To perform a systematic review and meta-analysis of the techniques and outcomes associated with percutaneous decannulation of venoarterial extracorporeal membrane oxygenation (VA-ECMO) using the Manta vascular closure device.
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