Evidence map›Paper›PMID 36769507›Full record

ArticleJournal of clinical medicine2023

Prophylactic Awake Peripheral V-A ECMO during TAVR.

Timur Lesbekov, Abdurashid Mussayev, Serik Alimbayev, Rymbay Kaliyev, Aidyn Kuanyshbek, Linar Faizov, Zhuldyz Nurmykhametova, Aigerim Kunakbayeva, Aigerim Sadykova

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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.

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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Four-year follow-up after prophylactic awake peripheral veno-arterial ECMO during transcatheter aortic valve replacement.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Article
  6. Effect of Mechanical Circulatory Support on Mortality After Transcatheter Aortic Valve Replacement: An Analysis.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2025
    Article
  7. Article
  8. Article
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

9 authors.

Timur LesbekovDepartment of Adult Cardiac Surgery, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.ORCID 0000-0002-0576-0768
Abdurashid MussayevDepartment of Interventional Cardiology, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.
Serik AlimbayevDepartment of Interventional Cardiology, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.
Rymbay KaliyevDepartment of Perfusiology and Assisted Circulation Laboratory, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.
Aidyn KuanyshbekDepartment of Anesthesiology, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.
Linar FaizovDepartment of Perfusiology and Assisted Circulation Laboratory, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.
Zhuldyz NurmykhametovaDepartment of Perfusiology and Assisted Circulation Laboratory, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.ORCID 0000-0002-4174-5784
Aigerim KunakbayevaDepartment of Adult Cardiac Surgery, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.
Aigerim SadykovaDepartment of Interventional Cardiology, National Research Cardiac Surgery Center, Astana 020000, Kazakhstan.

Funding

Science Committee of the Ministry of Education and Science of the Republic of Kazakhstan BR 10965200, AP 09258870
6 · The paper itself

Abstract

introductionTAVR remains a complex procedure that may result in serious intraprocedural complications. In many of these circumstances, venoarterial extracorporeal membrane oxygenation (V-A ECMO) helps to manage complications, provides a hemodynamic back-up, and bridges to an emergency open heart surgery. The clinical outcomes of 27 patients who underwent prophylactic implantation of peripheral V-A ECMO (pV-A ECMO) during high-risk transcatheter aortic valve replacement (TAVR) cases are described.

methodsFrom June 2012 to October 2022, 590 consecutive patients underwent TAVR at our center. Of these, 27 patients (4.5%) underwent TAVR with pV-AECMO because they were deemed very high risk for periprocedural complications and formed the study population.

resultsThere were no pV-A ECMO, hemodynamic or TAVR implantation complications. Decannulation of the ECMO system was performed in 92.6% of cases at the end of the procedure in the hybrid-operating theatre. The mean duration of pV-A ECMO for procedure support was 51.4 ± 10.3 min. There were no ECMO-related vascular or bleeding complications.

conclusionThis study shows that the prophylactic placement of awake peripheral V-A ECMO provides excellent temporary cardio-circulatory and pulmonary support during very high-risk TAVR procedures.

Indexed as

extracorporeal membrane oxygenationhigh-risk patientmechanical circulatory supporttranscatheter aortic valve replacement

Identifiers

PMID36769507
PMCPMC9918165

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.