Central versus Peripheral Postcardiotomy Veno-Arterial Extracorporeal Membrane Oxygenation: Systematic Review and Individual Patient Data Meta-Analysis.
Fausto BiancariAlexander KasererAndrea PerrottiVito G RuggieriSung-Min ChoJin Kook KangMagnus DalénHongtao TieKristjan JonssonSigurdur RagnarssonFrancisco J Hernández PérezGiuseppe GattiKhalid AlkhameesAntonino LoforteAndrea LechiancoleStefano RosatoCristiano SpadaccioMatteo PettinariAntonio FioreTimo MäkikallioSebastian D SahliCamilla L'AcquaAmr A ArafatMonirah A AlbabtainMohammed M AlBarakMohamed LaimoudIlija DjordjevicIhor KrasivskyiRobertas SamalaviciusLina PuodziukaiteMarta Alonso-Fernandez-GattaMarkus J WilhelmGiovanni MariscalcoPublished in: Journal of clinical medicine (2022)
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.