From: Acute vascular complications of femoral veno-arterial ECMO: a single-centre retrospective study
Studied criteria | All patients (n = 65) | Limb ischemia group (n = 21) | No limb ischemia group (n = 44) | P value |
---|---|---|---|---|
Age (years) | 37.9 ± 14.87 | 34.4 ± 12.3 | 39.6 ± 15.8 | 0.19 |
Sex | ||||
Males | 46 (70.8) | 18 (85.7) | 28 (63.6) | 0.06 |
Females | 19 (29.2) | 3 (14.3) | 16 (36.4) | |
Weight (kg) | 70.88 ± 20.9 | 70.6 ± 23.4 | 71 ± 19.9 | 0.61 |
Height (cm) | 164.68 ± 8.1 | 164.57 ± 6.3 | 164.7 ± 8.9 | 0.83 |
BMI (kg/m2) | 26.08 ± 6.7 | 26.04 ± 7.7 | 26.11 ± 6.4 | 0.43 |
BSA (m2) | 1.77 ± 0.27 | 1.76 ± 0.29 | 1.78 ± 0.27 | 0.54 |
Diabetes mellitus | 13 (20) | 5 (23.8) | 8 (18.2) | 0.74 |
Hypertension | 18 (27.7) | 5 (23.8) | 13 (29.5) | 0.62 |
Pre-ECMO AF | 17 (26.2) | 4 (19) | 13 (29.5) | 0.36 |
Anticoagulants intake | 18 (27.7) | 5 (23.8) | 13 (29.5) | 0.62 |
Aspirin intake | 3 (4.6) | 1 (4.8) | 2 (4.5) | 1 |
Left ventricle EF | 26.75 ± 13.4 | 26.14 ± 12.1 | 27.1 ± 14.2 | 0.81 |
CKD | 10 (15.4) | 5 (23.8) | 5 (11.4) | 0.27 |
Previous CVS | 2 (3.1) | 1 (4.8) | 1 (2.3) | 0.54 |
Cardiothoracic surgery | 17 (26.2) | 6 (28.6) | 11 (25) | 0.75 |
IABP | 13 (20) | 4 (19) | 9 (20.5) | 1 |
Percutaneous cannula insertion | ||||
Successful | 36 (55.4) | 8 (38.1) | 28 (63.6) | 0.039 |
Failed | 19 (29.2) | 10 (47.6) | 9 (20.5) | |
Not tried | 10 (15.4) | 3 (14.3) | 7 (15.9) | |
US-guided cannula insertion | 32 (49.2) | 7 (33.3) | 25 (56.8) | 0.07 |
Femoral cut-down | 29 (44.6) | 13 (61.9) | 16 (36.4) | 0.053 |
Insertion at operation room | 30 (46.2) | 13 (61.9) | 17 (38.6) | 0.078 |
Arterial cannula size (Fr) | 17.85 ± 1.4 | 18.05 ± 1.36 | 17.75 ± 1.43 | 0.77 |
Venous cannula size (Fr) | 21.72 ± 1.3 | 21.6 ± 1.59 | 21.7 ± 1.22 | 0.82 |
Distal perfusion cannula | 52 (80) | 15 (71.4) | 37 (84.1) | 0.32 |
Cannulation site bleeding | 16 (24.6) | 6 (28.6) | 10 (22.7) | 0.6 |
Cannulation bleeding required exploration | 4 (6.3) | 1 (4.8) | 3 (6.8) | 1 |