Evidence map›Paper›PMID 29743080›Full record

ArticleBiomedical engineering online2018

Hemodynamic effects of perfusion level of peripheral ECMO on cardiovascular system.

Kaiyun Gu, Zhe Zhang, Bin Gao, Yu Chang, Feng Wan

Open access · goldAbstract read
In one paragraph

Article in Biomedical engineering online, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Kaiyun GuPeking University Third Hospital, 49 North Garden Rd., Haidian District, Beijing, 100191, China.
Zhe ZhangPeking University Third Hospital, 49 North Garden Rd., Haidian District, Beijing, 100191, China. zhangzhe@bjmu.edu.cn.
Bin GaoCollege of Life Science & Bio-Engineering, Beijing University of Technology, Beijing, 100124, China.
Yu ChangCollege of Life Science & Bio-Engineering, Beijing University of Technology, Beijing, 100124, China. bme@bjut.edu.cn.
Feng WanPeking University Third Hospital, 49 North Garden Rd., Haidian District, Beijing, 100191, China.
Beijing University of Technology · CNPeking University Third Hospital · CNPeking University · CN

Funding

National Natural Science Foundation of China 11572014
6 · The paper itself

Abstract

backgroundPeripheral ECMO is an effective cardiopulmonary support in clinical. The perfusion level could directly influence the performances and complications. However, there are few studies on the effects of the perfusion level on hemodynamics of peripheral ECMO.

methodsThe geometric model of cardiovascular system with peripheral ECMO was established. The blood assist index was used to classify the perfusion level of the ECMO. The flow pattern from the aorta to the femoral artery and their branches, blood flow rate from aorta to brain and limbs, flow interface, harmonic index of blood flow, wall shear stress and oscillatory shear index were chosen to evaluate the hemodynamic effects of peripheral ECMO.

resultsThe results demonstrated that the flow rate of aorta outlets increased and perfusion condition had been improved. And the average flow to the upper limbs and brain has a positive correlation with BAI (r = 0.037, p < 0.05), while there is a negative correlation with lower limbs (r = - 0.054, p < 0.05). The HI has negative correlation with BAI (p < 0.05, r < 0). The blood interface is further from the heart with the BAI decrease. And the average WSS has negative correlation with BAI (p < 0.05, r = - 0.983) at the bifurcation of femoral aorta and has positive correlation with BAI (p < 0.05, r = 0.99) at the inner aorta. The OSI under different BAI is higher (reaching 0.4) at the inner wall of the aortic arch, the descending aorta and the femoral access.

conclusionsThe pathogenesis of peripheral ECMO with different perfusion levels varies; its further research will be thorough and extensive.

Indexed as

Extracorporeal Membrane OxygenationHemodynamicsModels, CardiovascularStress, MechanicalBlood assist indexHemodynamicsOscillatory shear indexPeripheral ECMO

Identifiers

PMID29743080
PMCPMC5944029
OpenAlexW2799423784

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.