Extra-corporeal membrane oxygenation in aortic surgery and dissection: a systematic review

Massimo Capoccia, Marc O Maybauer

Research output: Contribution to journalReview article

Abstract

BACKGROUND
Very little is known about the role of extracorporeal membrane oxygenation (ECMO) for the management of patients undergoing major aortic surgery with particular reference to aortic dissection.
AIM
To review the available literature to determine if there was any evidence.
METHODS
A systematic literature search through PubMed and EMBASE was undertaken according to specific key words.
RESULTS
The search resulted in 29 publications relevant to the subject: 1 brief communication, 1 surgical technique report, 1 invited commentary, 1 retrospective case review, 1 observational study, 4 retrospective reviews, 13 case reports and 7 conference abstracts. A total of 194 patients were included in these publications of whom 77 survived.
CONCLUSION
Although there is no compelling evidence for or against the use of ECMO in major aortic surgery or dissection, it is enough to justify its use in this patient population despite current adverse attitude.
Original languageEnglish
Pages (from-to)135-147
Number of pages13
JournalWorld Journal of Critical Care Medicine
Volume8
Issue number8
DOIs
Publication statusPublished - 20 Dec 2019

    Fingerprint

Keywords

  • aortic dissection
  • aortic surgery
  • extracorporeal life support
  • extracorporeal membrane oxygenation
  • mechanical circulatory support

Cite this