Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation
ObjectiveTo evaluate the safety and efficacy of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation (V-A ECMO).MethodsA retrospective study was conducted from December 2022 to November 2023, analyzing data from patients who underwent V-A...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1522789/full |
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| author | Chen Xu Guo-xiong Xu Yi-fei Cao Lei Chen Yi-qi Jin |
| author_facet | Chen Xu Guo-xiong Xu Yi-fei Cao Lei Chen Yi-qi Jin |
| author_sort | Chen Xu |
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| description | ObjectiveTo evaluate the safety and efficacy of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation (V-A ECMO).MethodsA retrospective study was conducted from December 2022 to November 2023, analyzing data from patients who underwent V-A ECMO weaning at our center. The area reduction post-closure technique, utilizing two ProGlide devices (Abbott Vascular, Santa Clara, CA), was adopted as a standard practice. The technical success was defined as achieving complete hemostasis without a bailout open repair. The complications associated with access included hemorrhagic events, pseudoaneurysm formation, limb ischemia, distal embolization, and wound infections.ResultsA total of 18 patients were included. The median age of the cohort was 72.0 years [interquartile range (IQR), 57.5–81.5 years], with a male-to-female ratio of 2:1. The median size of arterial sheath utilized was 18.0 Fr (IQR, 17.0–20.0 Fr). The median duration of the procedure was 10.0 min (IQR, 9.0–13.0 min), and the median length of total hospital stay was 31.0 days (IQR, 25.5–39.0 days). Furthermore, the technique demonstrated a success rate of 100%. One patient (5.6%) experienced minor bleeding, which was successfully managed through compression. No additional complications associated with access were observed after the procedure.ConclusionsThe post-closure area reduction technique emerges as a viable option for bedside weaning of V-A ECMO. Nonetheless, it is essential that this technique be validated through larger comparative studies. |
| format | Article |
| id | doaj-art-6405f4cf37e14c4c977385fb0dbabc55 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-6405f4cf37e14c4c977385fb0dbabc552025-01-15T06:10:51ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.15227891522789Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenationChen Xu0Guo-xiong Xu1Yi-fei Cao2Lei Chen3Yi-qi Jin4Department of Vascular and Endovascular Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, ChinaDepartment of Vascular and Endovascular Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, ChinaDepartment of Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, ChinaDepartment of Vascular and Endovascular Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, ChinaDepartment of Vascular and Endovascular Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, ChinaObjectiveTo evaluate the safety and efficacy of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation (V-A ECMO).MethodsA retrospective study was conducted from December 2022 to November 2023, analyzing data from patients who underwent V-A ECMO weaning at our center. The area reduction post-closure technique, utilizing two ProGlide devices (Abbott Vascular, Santa Clara, CA), was adopted as a standard practice. The technical success was defined as achieving complete hemostasis without a bailout open repair. The complications associated with access included hemorrhagic events, pseudoaneurysm formation, limb ischemia, distal embolization, and wound infections.ResultsA total of 18 patients were included. The median age of the cohort was 72.0 years [interquartile range (IQR), 57.5–81.5 years], with a male-to-female ratio of 2:1. The median size of arterial sheath utilized was 18.0 Fr (IQR, 17.0–20.0 Fr). The median duration of the procedure was 10.0 min (IQR, 9.0–13.0 min), and the median length of total hospital stay was 31.0 days (IQR, 25.5–39.0 days). Furthermore, the technique demonstrated a success rate of 100%. One patient (5.6%) experienced minor bleeding, which was successfully managed through compression. No additional complications associated with access were observed after the procedure.ConclusionsThe post-closure area reduction technique emerges as a viable option for bedside weaning of V-A ECMO. Nonetheless, it is essential that this technique be validated through larger comparative studies.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1522789/fullthe area reduction post-closure techniquebedside weaningveno-arterial extracorporeal membrane oxygenationProGlide devicesaccess bleeding |
| spellingShingle | Chen Xu Guo-xiong Xu Yi-fei Cao Lei Chen Yi-qi Jin Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation Frontiers in Cardiovascular Medicine the area reduction post-closure technique bedside weaning veno-arterial extracorporeal membrane oxygenation ProGlide devices access bleeding |
| title | Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation |
| title_full | Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation |
| title_fullStr | Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation |
| title_full_unstemmed | Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation |
| title_short | Feasibility of the area reduction post-closure technique for bedside weaning of veno-arterial extracorporeal membrane oxygenation |
| title_sort | feasibility of the area reduction post closure technique for bedside weaning of veno arterial extracorporeal membrane oxygenation |
| topic | the area reduction post-closure technique bedside weaning veno-arterial extracorporeal membrane oxygenation ProGlide devices access bleeding |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1522789/full |
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