Evidence map›Paper›PMID 39503380›Full record

Observational studyCritical care medicine2025

Vascular Complications After Venoarterial Extracorporeal Membrane Oxygenation Support: A CT Study.

Nima Djavidi, Samia Boussouar, Baptiste Duceau, Petra Bahroum, Simon Rivoal, Geoffroy Hariri, Aymeric Lancelot, Pauline Dureau, Ahmed Abbes, Edris Omar and 5 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Critical care medicine, 2025. 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
–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

5 citing papers in PubMed.

  1. Full percutaneous decannulation of VA-ECMO using MANTACritical care (London, England) · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. 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

15 authors.

Nima DjavidiDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.ORCID 0000-0001-7907-5141
Samia BoussouarUnité d'Imagerie Cardiovasculaire et Thoracique, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Baptiste DuceauDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Petra BahroumService de Médecine Intensive-Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Simon RivoalDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Geoffroy HaririDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Aymeric LancelotDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Pauline DureauDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Ahmed AbbesDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Edris OmarDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Ahmed CharfeddineDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Guillaume LebretonService de Chirurgie Cardiaque, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Alban RedheuilUnité d'Imagerie Cardiovasculaire et Thoracique, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Charles-Edouard LuytService de Médecine Intensive-Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.
Adrien BougléDépartement d'Anesthésie et Réanimation, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital La Pitié-Salpêtrière, Institut de Cardiologie, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesVascular complications after venoarterial extracorporeal membrane oxygenation (ECMO) remains poorly studied, although they may highly impact patient management after ECMO removal. Our aim was to assess their frequency, predictors, and management.

designRetrospective, observational cohort study.

settingTwo ICUs from a tertiary referral academic hospital. PATIENTS: Adult patients who were successfully weaned from venoarterial ECMO between January 2021 and January 2022.

interventionsNone. PRIMARY OUTCOME: Vascular complications frequency related to ECMO cannula. MEASUREMENTS AND MAIN

resultsA total of 288 patients were implanted with venoarterial ECMO during the inclusion period. One hundred ninety-four patients were successfully weaned, and 109 underwent a CT examination to assess for vascular complications until 4 days after the weaning procedure. The median age of the cohort was 58 years (interquartile range [IQR], 46-64 yr), with a median duration of ECMO support of 7 days (IQR, 5-12 d). Vascular complications were observed in 88 patients (81%). The most frequent complication was thrombosis, either cannula-associated deep vein thrombosis (CaDVT) ( n = 63, 58%) or arterial thrombosis ( n = 36, 33%). Nonthrombotic arterial complications were observed in 48 patients (44%), with 35 (31%) presenting with bleeding. The most common site of CaDVT was the inferior vena cava, occurring in 33 (50%) of cases, with 20% of patients presenting with pulmonary embolism. There was no association between thrombotic complications and ECMO duration, anticoagulation level, or ECMO rotation flow. CT scans influenced management in 83% of patients. In-hospital mortality was 17% regardless of vascular complications.

conclusionsVascular complications related to venoarterial ECMO cannula are common after ECMO implantation. CT allows early detection of complications after weaning and impacts patient management. Patients should be routinely screened for vascular complications by CT after decannulation.

Indexed as

Extracorporeal Membrane OxygenationTomography, X-Ray ComputedFemaleHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesVascular Diseases

Identifiers

PMID39503380
PMCPMC11698131

What OpenQuestion holds

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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.