Evidence map›Paper›PMID 41583928›Full record

ReviewResuscitation plus2026

Extracorporeal cardiopulmonary resuscitation following cardiac surgery: a scoping review.

Sho Takemoto, Tomonari M Shimoda, Yuta Inoue, Hirofumi Kanazawa, Amir Sanatkar, Asishana Osho, Ryan Ruiyang Ling, Kollengode Ramanathan, Akira Shiose, Yohei Okada

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Resuscitation plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sho TakemotoCenter for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Tomonari M ShimodaDepartment of Cardiovascular Surgery, University of Tsukuba, Ibaraki, Japan.
Yuta InoueDepartment of Cardiovascular Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Hirofumi KanazawaDepartment of Anesthesiology, The University of Minnesota, Minneapolis, MN, USA.
Amir SanatkarCenter for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Asishana OshoCardiac Surgery Division, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Ryan Ruiyang LingAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Kollengode RamanathanYong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
Akira ShioseDepartment of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan.
Yohei OkadaDepartment of Preventive Services, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In-hospital cardiac arrest after cardiac surgery demands specific approaches, such as rapid resternotomy, internal cardiac massage and sequential defibrillation. Extracorporeal cardiopulmonary resuscitation (ECPR) is a viable option; however, it is not standardized. This scoping review summarizes current evidence and identifies knowledge gaps regarding ECPR after cardiac surgery. Methods: We searched PubMed, Web of Science, Cochrane Library, and Ichushi-Web (a Japanese medical database) from July 29, 2024 through March 20, 2025. Studies reporting outcomes in patients received ECPR after cardiac surgery were included, without restrictions on study design or language. Results: Of 3963 unique articles, 49 studies were included. Among these, 3 adult and 17 pediatric studies reported ≥20 identifiable post-cardiac surgery ECPR cases (91 adult cases and 1464 pediatric cases). Across the included adult literature, only two ventricular assist device cases and no minimally invasive cardiac surgery cases were found. Adult post-cardiac surgery ECPR outcomes showed 33-35 % of overall survival and 23-29 % of survival with favorable neurological outcome. Pediatric outcomes were variable, with 10-70 % of overall survival and 10-40 % survival with favorable neurological outcome. Chest compression duration ranged from 31 to 36 min in adult post-cardiac surgery ECPR and from 27 to 60 min in pediatrics, where this metric was frequently available only from mixed surgical/non-surgical cohorts. Conclusion: Both adult and pediatric groups demonstrated variable but relatively high overall survival and survival with favorable neurological outcome following ECPR. Pediatric studies highlighted prolonged chest compressions. Further research is needed to explore the role of ECPR following minimally invasive and ventricular assist device surgery.

Indexed as

Cardiac arrest following cardiac surgeryCardiac surgeryExtracorporeal cardiopulmonary resuscitationExtracorporeal membrane oxygenationIn-hospital cardiac arrestSpecial circumstances

Identifiers

PMID41583928
PMCPMC12825076

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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.