Evidence map›Paper›PMID 36776253›Full record

ArticleFrontiers in cardiovascular medicine2023

Suture-based vs. pure plug-based vascular closure devices for VA-ECMO decannulation-A retrospective observational study.

Clemens Scherer, Hans Theiss, Mario Istrefi, Leonhard Binzenhöfer, Danny Kupka, Thomas Stocker, Enzo Lüsebrink, Era Stambollxhiu, Ahmed Alemic, Tobias Petzold and 9 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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.

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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Meta-analysis: percutaneous versus surgical VA-ECMO decannulation demonstrates no clear differences in most outcomes, with a signal toward lower infection.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2026
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. 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

19 authors.

Clemens SchererDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Hans TheissDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Mario IstrefiDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Leonhard BinzenhöferDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Danny KupkaDepartment of Medical Oncology and Hematology, University Hospital Zurich, Zurich, Switzerland.
Thomas StockerDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Enzo LüsebrinkDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Era StambollxhiuDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Ahmed AlemicDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Tobias PetzoldDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Konstantin StarkDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Simon DeseiveDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Daniel BraunDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Dominik JoskowiakDepartment of Cardiac Surgery, University Hospital, LMU Munich, Munich, Germany.
Sven PeterssDepartment of Cardiac Surgery, University Hospital, LMU Munich, Munich, Germany.
Jörg HausleiterDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Christian HaglGerman Center for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.
Steffen MassbergDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.
Martin OrbanDepartment of Medicine I, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a valuable treatment option for patients in cardiogenic shock, but complications during decannulation may worsen the overall outcome. Therefore, the aim of this study was to compare the efficacy and safety of suture-based to pure plug-based vascular closure devices for VA-ECMO decannulation. Methods: In this retrospective study, the procedural outcome of 33 patients with suture-based Results: Rate of technically correct placement of closure devices was 88% in the suture-based group and 97% in the plug-based group ( Conclusion: Based on our retrospective analysis, we propose that plug-based vascular closure should be the preferred option for VA-ECMO decannulation. This hypothesis should be further tested in a randomized trial.

Indexed as

cardiogenic shockMANTAplug-based closure deviceProGlidesuture-based closure deviceVA-ECMOveno-arterial extracorporeal membrane oxygenation

Identifiers

PMID36776253
PMCPMC9908581

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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.