Neurologic | Hematologic | |
|
| |
Pulmonary | Device-related | |
| Cannula-related
| Circuit-related
|
Cardiac | Renal | |
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| |
Infections | ||
|
Most of these complications are applicable to V-V ECMO, V-A ECMO, and ECCO2R. However, the proportions of specific complications may be different among these modes. For example, arterial thromboembolism causing stroke and neurologic injury, pulmonary hemorrhage from poor left ventricular emptying, limb ischemia, and coronary or cerebral hypoxia are more likely to occur in patients receiving V-A ECMO while recirculation can only occur in V-V ECMO; the latter is more likely if the patient has a 2-site configuration, rather than single-site.
Some complications not listed on the table may relate to the underling disorder or mechanical ventilation, such as barotrauma.CNS: central nervous system; DVT: deep venous thrombosis; ECCO2R: extracorporeal carbon dioxide removal; ECMO: extracorporeal membrane oxygenation; GIB: gastrointestinal bleeding; HIT: heparin-induced thrombocytopenia; RP: retroperitoneal; V-A: venoarterial; V-V: venovenous.
* The asterisk indicates the most common complications, which are mostly due to bleeding or thrombosis and in the region of 3 to 5% in prevalence, some higher (eg, circuit clots, infections, arrythmias).Do you want to add Medilib to your home screen?