Wang L, et al. Percutaneous cannulation is associated with lower rate of severe neurological complication in femoro-femoral ECPR: ELSO Registry

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Read in this book, with the reasoning labelled, as a time effect wearing a neurological mask: cutdown takes roughly fifteen to twenty minutes longer, and the brain is the organ that pays for delay.

Surgical cutdown cannulation

DOI 10.1186/s13613-023-01174-1

Percutaneous cannulation

Registry data; technique choice is confounded by anatomy, operator specialty and system maturity; neurological outcome definitions vary between centres.

Lower rate of severe neurological complication with percutaneous cannulation; no difference in vascular complications.

3,575 adults receiving femoro-femoral ECPR in the ELSO Registry, 2008 to 2019