Evidence map›Paper›PMID 40535211›Full record

ArticleIndian journal of thoracic and cardiovascular surgery2025

Redefining weaning in a VA ECMO: a case report on pump-controlled retrograde trial off.

Raghavendra Deshpande, Rajavardhan Rangappa, Saikat Kanjilal, Narayana Swamy Moola, Suriyanathan Madhan Kumar

Abstract readCase Reports
In one paragraph

Article in Indian journal of thoracic and cardiovascular surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Raghavendra DeshpandeDepartment of Critical Care, Manipal Hospital Sarjapur Road, Bengaluru, 560102 India.ORCID 0000-0001-9604-5702
Rajavardhan RangappaDepartment of Critical Care, Manipal Hospital Sarjapur Road, Bengaluru, 560102 India.ORCID 0000-0001-9521-2062
Saikat KanjilalDepartment of Cardiology, Manipal Hospital Sarjapur Road, Bengaluru, 560102 India.
Narayana Swamy MoolaDepartment of Critical Care, Manipal Hospital Sarjapur Road, Bengaluru, 560102 India.
Suriyanathan Madhan KumarDepartment of Cardiovascular Thoracic Surgery, Manipal Hospital Sarjapur Road, Bengaluru, 560102 India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracorporeal membrane oxygenation (ECMO) is widely recognized as a life-saving measure. The use of veno-arterial extracorporeal membrane oxygenation (VA ECMO) is on the rise, serving as an effective mechanical circulatory support (MCS) device that aids in the restoration of systemic perfusion in patients suffering from cardiogenic shock. Weaning methods for VA ECMO exhibit considerable variability, with pump-controlled retrograde trial off (PCRTO) being one of the methods employed. PCRTO is a practical weaning method due to its physiological approach. In this case report, we discuss the application of PCRTO, in conjunction with a pulmonary artery catheter, for weaning a 41-year-old male patient from VA ECMO. The patient presented with acute coronary syndrome with cardiogenic shock. PCRTO played a pivotal role in the successful explantation of the ECMO cannulae, particularly given the patient's uncertain cardiorespiratory recovery. The PCRTO method, being both feasible and reversible, serves as a significant predictor for successful weaning from VA ECMO through a preload stress test. This case underscores the potential of PCRTO as a valuable tool in the weaning process from VA ECMO. Supplementary Information: The online version contains supplementary material available at 10.1007/s12055-025-01895-x.

Indexed as

Cardiogenic shockMechanical circulatory support (MCS)Pump-controlled trial off (PCRTO)VA ECMOWeaning

Identifiers

PMID40535211
PMCPMC12170960

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