Interventional Closure of the Femoral Artery Access Site after Percutaneous Venoarterial ECMO: The Aachen Experience

Kalverkamp, Sebastian; Kersten, Andrew D.; Schröder, J.; Autschbach, R.; Spillner, J; Zayat, Rania Salah El

doi:10.1055/s-0041-1725787

Cited by 1 publication

(26 citation statements)

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“…After full-text review, seven studies satisfied our inclusion and exclusion criteria and were included in our review article. [11][12][13][14][15][16][17] The PRISMA flow diagram is shown in Figure 1.…”

Section: Study Selectionmentioning

confidence: 99%

“…A total of seven studies were included in our review article. [11][12][13][14][15][16][17] All studies were published recently from 2019 onward. [11][12][13][14][15][16][17] Four studies originated from Germany, [13][14][15]17 while the remaining three were from Hong Kong, Sweden and the United States of America, respectively.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…[11][12][13][14][15][16][17] All studies were published recently from 2019 onward. [11][12][13][14][15][16][17] Four studies originated from Germany, [13][14][15]17 while the remaining three were from Hong Kong, Sweden and the United States of America, respectively. 11,12,16 Five studies were full-text articles, 11,12,[14][15][16] and the studies by Kalverkamp et al and Kmeic et al were conference abstracts.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…11,12,16 Five studies were full-text articles, 11,12,[14][15][16] and the studies by Kalverkamp et al and Kmeic et al were conference abstracts. 13,17 All studies were retrospective observational studies, [11][12][13][14]16,17 except for the study by Bemtgen et al, which was prospective in nature. 15 A total of 116 patients are included in this systematic review.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…11,12,[14][15][16] Two other studies were considered moderate quality case series, having satisfied six out of 10 criteria in the critical appraisal checklist. 13,17 The scores allocated to each item on the JBI critical appraisal checklist for each study are shown in Supplementary Table S1.…”

Section: Quality Assessmentmentioning

confidence: 99%

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Percutaneous decannulation of venoarterial extracorporeal membrane oxygenation using the Manta vascular closure device: A systematic review and meta‐analysis

Lee

Lim

et al. 2023

Artificial Organs

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ObjectivesTo 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.BackgroundPeripheral VA–ECMO can be used to treat critically ill patients with conditions such as refractory cardiogenic shock. After percutaneous implantation of VA–ECMO, VA–ECMO can also be decannulated completely percutaneously by using a vascular closure device. 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.MethodsWe performed a thorough literature search using various electronic databases. We included studies that reported outcomes after peripheral femorofemoral VA–ECMO decannulation with the Manta vascular closure device. 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.ResultsWe included seven studies with a total of 116 patients. The overall technical success of percutaneous decannulation of VA–ECMO with the Manta vascular closure device was 93.7%. The overall incidence of bleeding, vascular and wound complications was 1.7%, 13.8%, and 3.4%, respectively. No patient required lower limb amputation or died due to VA–ECMO decannulation.ConclusionPercutaneous decannulation with the Manta vascular closure device is an effective and safe procedure that should be considered in suitable patients on VA–ECMO.

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