23, 28, 14
The neurological risk attributed to venoarterial configuration is largely a property of the cardiac arrest that preceded cannulation, not of the configuration itself. Do not counsel a non-ECPR venoarterial patient using ECPR neurological figures.
Venovenous support
[VERIFICATION REQUIRED] - DOI/PMID not confirmed
Venoarterial support
Study-level meta-analysis with unadjusted pooling and heterogeneous ascertainment. Structured abstract only. [VERIFICATION REQUIRED]
Brain injury 19% against 10% (P = 0.002); ischaemic stroke 10% against 1%; hypoxic-ischaemic injury 13% against 1%; brain death 11% against 1%. Intracerebral haemorrhage did not differ (6% against 8%, P = 0.35). After excluding studies containing ECPR the overall difference vanished: 13% against 10%, P = 0.4.
73 studies, 16,063 ECMO patients