Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO Decannulation
Background. The impact of devices for vessel closure on the safety and efficacy of cannula removal in VA-ECMO patients is unknown. Methods. We retrospectively analyzed 180 consecutive patients weaned from VA-ECMO after cardiac arrest or cardiogenic shock from January 2012 to June 2020. In the first...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Interventional Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/9915247 |
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| author | Clemens Scherer Christopher Stremmel Enzo Lüsebrink Thomas J. Stocker Konstantin Stark Carmen Schönegger Antonia Kellnar Jan Kleeberger Maja Hanuna Tobias Petzold Sven Peterss Daniel Braun Jörg Hausleiter Christian Hagl Steffen Massberg Martin Orban |
| author_facet | Clemens Scherer Christopher Stremmel Enzo Lüsebrink Thomas J. Stocker Konstantin Stark Carmen Schönegger Antonia Kellnar Jan Kleeberger Maja Hanuna Tobias Petzold Sven Peterss Daniel Braun Jörg Hausleiter Christian Hagl Steffen Massberg Martin Orban |
| author_sort | Clemens Scherer |
| collection | DOAJ |
| description | Background. The impact of devices for vessel closure on the safety and efficacy of cannula removal in VA-ECMO patients is unknown. Methods. We retrospectively analyzed 180 consecutive patients weaned from VA-ECMO after cardiac arrest or cardiogenic shock from January 2012 to June 2020. In the first period (historical technique group), from January 2012 to December 2018, primary decannulation strategy was manual compression. In the second period (current technique group), from January 2019 to June 2020, decannulation was performed either by a conventional approach with manual compression or by a suture-mediated closure device technique. Results. A femoral compression system was necessary in 71% of patients in the historical group compared to 39% in the current technique group (p < 0.01). Vascular surgery was performed in 12% in the historical cohort and 2% in the current technique cohort, which indicated a clear trend, albeit it did not reach significance (p = 0.07). Conclusion. We illustrated that a suture-mediated closure device technique for VA-ECMO decannulation was feasible, safe, and may have reduced the need of surgical interventions compared to manual compression alone. |
| format | Article |
| id | doaj-art-f1d6b5f8aacd4d01b3c106306962ab5c |
| institution | Kabale University |
| issn | 1540-8183 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Interventional Cardiology |
| spelling | doaj-art-f1d6b5f8aacd4d01b3c106306962ab5c2025-02-03T01:09:57ZengWileyJournal of Interventional Cardiology1540-81832022-01-01202210.1155/2022/9915247Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO DecannulationClemens Scherer0Christopher Stremmel1Enzo Lüsebrink2Thomas J. Stocker3Konstantin Stark4Carmen Schönegger5Antonia Kellnar6Jan Kleeberger7Maja Hanuna8Tobias Petzold9Sven Peterss10Daniel Braun11Jörg Hausleiter12Christian Hagl13Steffen Massberg14Martin Orban15Department of Medicine IDepartment of Medicine IDepartment of Medicine IDepartment of Medicine IDepartment of Medicine IDepartment of Medicine IDepartment of Medicine IDepartment of Medicine IDepartment of Cardiac SurgeryDepartment of Medicine IDepartment of Cardiac SurgeryDepartment of Medicine IDepartment of Medicine IDZHK (German Centre for Cardiovascular Research)Department of Medicine IDepartment of Medicine IBackground. The impact of devices for vessel closure on the safety and efficacy of cannula removal in VA-ECMO patients is unknown. Methods. We retrospectively analyzed 180 consecutive patients weaned from VA-ECMO after cardiac arrest or cardiogenic shock from January 2012 to June 2020. In the first period (historical technique group), from January 2012 to December 2018, primary decannulation strategy was manual compression. In the second period (current technique group), from January 2019 to June 2020, decannulation was performed either by a conventional approach with manual compression or by a suture-mediated closure device technique. Results. A femoral compression system was necessary in 71% of patients in the historical group compared to 39% in the current technique group (p < 0.01). Vascular surgery was performed in 12% in the historical cohort and 2% in the current technique cohort, which indicated a clear trend, albeit it did not reach significance (p = 0.07). Conclusion. We illustrated that a suture-mediated closure device technique for VA-ECMO decannulation was feasible, safe, and may have reduced the need of surgical interventions compared to manual compression alone.http://dx.doi.org/10.1155/2022/9915247 |
| spellingShingle | Clemens Scherer Christopher Stremmel Enzo Lüsebrink Thomas J. Stocker Konstantin Stark Carmen Schönegger Antonia Kellnar Jan Kleeberger Maja Hanuna Tobias Petzold Sven Peterss Daniel Braun Jörg Hausleiter Christian Hagl Steffen Massberg Martin Orban Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO Decannulation Journal of Interventional Cardiology |
| title | Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO Decannulation |
| title_full | Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO Decannulation |
| title_fullStr | Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO Decannulation |
| title_full_unstemmed | Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO Decannulation |
| title_short | Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO Decannulation |
| title_sort | manual compression versus suture mediated closure device technique for va ecmo decannulation |
| url | http://dx.doi.org/10.1155/2022/9915247 |
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