Evidence map›Paper›PMID 42707825›Full record

ReviewWorld journal of critical care medicine2026

Mitigating limb ischemia in veno-arterial extracorporeal membrane oxygenation: A narrative review of evolving role of distal perfusion catheters.

Nupur Karan, Rohit Patnaik, Santi Swaroop Pattanaik, Arun Vijayakumar, Sugadev Ravinbothayan, Srikant Behera, Chinmaya Panda, Montasir Barakat, Alpa Meshram, Samir Samal and 1 more

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In one paragraph

Review in World journal of critical care medicine, 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

11 authors.

Nupur KaranDepartment of Anaesthesiology, All India Institute of Medical Sciences, Raipur 492099, Chhattisgarh, India.
Rohit PatnaikDepartment of Critical Care Medicine, Medeor 24x7 Hospital, Abu Dhabi 40330, United Arab Emirates. rohitpatnaik09@gmail.com.
Santi Swaroop PattanaikDepartment of Critical Care Medicine, Utkal Institute of Medical Sciences, Bhubaneshwar 751021, Odisha, India.
Arun VijayakumarDepartment of Anesthesiology, Burjeel Hospital, Abu Dhabi 7400, United Arab Emirates.
Sugadev RavinbothayanDepartment of Critical Care Medicine, Fortis Hiranandani Hospital, Navi Mumbai 400703, Mahārāshtra, India.
Srikant BeheraInternal Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar 751019, Odisha, India.
Chinmaya PandaDepartment of Anaesthesiology, All India Institute of Medical Sciences, Raipur 492099, Chhattisgarh, India.
Montasir BarakatDepartment of Critical Care Medicine, Burjeel Hospital, Abu Dhabi 7400, United Arab Emirates.
Alpa MeshramDepartment of Family Clinic, Medeor 24x7 Hospital, Abu Dhabi 40330, India.
Samir SamalDepartment of Critical Care Medicine, IMS and SUM Hospital, Bhubaneshwar 751003, Odisha, India.
Atul ChawlaDepartment of Gastroenterology, Medeor 24x7 Hospital, Abu Dhabi 40330, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute limb ischemia (ALI) is a serious complication of femoral artery cannulation during peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO), with reported incidence rates approaching 17%. Although several contributing factors have been described, the fundamental problem is reduced arterial flow distal to the cannulation site, often worsened by systemic vasoconstriction. Distal perfusion catheters (DPC) are the most widely used strategy to prevent this, but the optimal device, technique, and timing remain uncertain due to limited evidence. Early detection with near-infrared spectroscopy, along with emerging approaches such as bidirectional cannulas and artificial intelligence-based prediction tools, may improve prevention and management. This narrative review brings together current evidence on ALI in peripheral VA-ECMO and places particular emphasis on contemporary techniques for DPC placement with practical monitoring.

Indexed as

Acute limb ischemiaDistal perfusion catheterFemoral cannulationLimb perfusion strategiesNear-infrared spectroscopyPerfusion monitoringVascular access techniquesVeno-arterial extracorporeal membrane oxygenation

Identifiers

PMID42707825
PMCPMC13548144

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.