Evidence map›Paper›PMID 32384917›Full record

ReviewCritical care (London, England)2020

COVID-19 and ECMO: the interplay between coagulation and inflammation-a narrative review.

Mariusz Kowalewski, Dario Fina, Artur Słomka, Giuseppe Maria Raffa, Gennaro Martucci, Valeria Lo Coco, Maria Elena De Piero, Marco Ranucci, Piotr Suwalski, Roberto Lorusso

Registry-linked trialAbstract readReview
In one paragraph

Review in Critical care (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06038682 (Monitoring Anticoagulation With Argatroban in Patients on Extracorporeal Membrane Oxygenation for Severe Lung Failure Using Anti-FIIa. Monitoring Anticoagulation With Unfractionated Heparin in Patients on Extracorporeal Membrane Oxygenation for Severe Lung Failure Using Anti-FXa.), which is not on this map. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06038682 completednot on this map

Monitoring Anticoagulation With Argatroban in Patients on Extracorporeal Membrane Oxygenation for Severe Lung Failure Using Anti-FIIa. Monitoring Anticoagulation With Unfractionated Heparin in Patients on Extracorporeal Membrane Oxygenation for Severe Lung Failure Using Anti-FXa.

TypeobservationalSponsorUniversity Hospital OstravaRan2020 to 2023Enrolled100ConditionsARDS, COVID-19ArmsArgatroban Injection, Heparin
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Impact of Cardiovascular Diseases on COVID-19: A Systematic Review.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Pooled it
  3. Pooled it
  4. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Review
  12. Acute Neurological Complications of Coronavirus Disease.Neuroimaging clinics of North America · 2023
    Review
  13. Article
  14. Article
  15. Veno-venous extracorporeal membrane oxygenation in patients with SARS-CoV-2 pneumonia in Brazil: a case series.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023
    Article
  16. Article
  17. Article
  18. The role of extracorporeal membrane oxygenation in COVID-19.Journal of cardiothoracic and vascular anesthesia · 2022
    Review
  19. Review
  20. Review

16 more citing papers are in PubMed but not listed here.

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

10 authors.

Mariusz KowalewskiClinical Department of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior and Administration, Centre of Postgraduate Medical Education, Wołoska 137 Str, 02-507, Warsaw, Poland. kowalewskimariusz@gazeta.pl.ORCID 0000-0002-5478-3245
Dario FinaCardio-Thoracic Surgery Department Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, the Netherlands.
Artur SłomkaChair and Department of Pathophysiology Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.
Giuseppe Maria RaffaCardiac Surgery Unit, IRCCS-ISMETT, Palermo, Italy.
Gennaro MartucciAnesthesia and Intensive Care Department, IRCCS-ISMETT, Palermo, Italy.
Valeria Lo CocoCardio-Thoracic Surgery Department Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, the Netherlands.
Maria Elena De PieroCardio-Thoracic Surgery Department Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, the Netherlands.
Marco RanucciDepartment of Cardiovascular Anesthesia and ICU, IRCCS Policlinico San Donato, Milan, Italy.
Piotr SuwalskiClinical Department of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior and Administration, Centre of Postgraduate Medical Education, Wołoska 137 Str, 02-507, Warsaw, Poland.
Roberto LorussoCardio-Thoracic Surgery Department Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has presently become a rapidly spreading and devastating global pandemic. Veno-venous extracorporeal membrane oxygenation (V-V ECMO) may serve as life-saving rescue therapy for refractory respiratory failure in the setting of acute respiratory compromise such as that induced by SARS-CoV-2. While still little is known on the true efficacy of ECMO in this setting, the natural resemblance of seasonal influenza's characteristics with respect to acute onset, initial symptoms, and some complications prompt to ECMO implantation in most severe, pulmonary decompensated patients. The present review summarizes the evidence on ECMO management of severe ARDS in light of recent COVID-19 pandemic, at the same time focusing on differences and similarities between SARS-CoV-2 and ECMO in terms of hematological and inflammatory interplay when these two settings merge.

Indexed as

BetacoronavirusExtracorporeal Membrane OxygenationBlood CoagulationCoronavirus InfectionsCOVID-19Cytokine Release SyndromePandemicsPneumonia, ViralSARS-CoV-2Severe Acute Respiratory SyndromeThrombocytopenia

Identifiers

PMID32384917
PMCPMC7209766

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Registered trials

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.