23, 28
The anchor of the detection gradient. Registry-reported acute brain injury after ECPR is about 16.5% and monitored electroencephalographic abnormality is 63%; autopsy finds 68%. A unit that does not monitor does not have a low complication rate, it has an unmeasured one.
Registry-reported and clinically detected rates of acute brain injury
[VERIFICATION REQUIRED] - DOI/PMID not confirmed
Post-mortem neuropathological examination
25 decedents only, selected by death and by consent to autopsy; not generalisable to survivors. Structured abstract only. [VERIFICATION REQUIRED]
Acute brain injury in 68% - hypoxic-ischaemic injury 44%, intracranial haemorrhage 24%, ischaemic infarct 16%. Only 8 of 25 brains were free of injury.
25 ECMO decedents undergoing brain autopsy, 22 of them venoarterial