Organ support & nutrition

Extracorporeal Blood Purification with CytoSorb in Patients with Shock: A Secondary Analysis of Standalone Circuit Configuration Versus Integrated Use within Extracorporeal Membrane Oxygenation in 359 Critically Ill Patients

J Cardiothorac Vasc AnesthPublished Secondary analysis of a cohort study

Authors' conclusion

Despite substantial intergroup diversity at baseline and in their clinical outcomes, the choice of CytoSorb configuration had no impact on cartridge performance and duration.

Study context

Population
Critically ill patients receiving CytoSorb, cardiac ICU of a tertiary referral university hospital
Participants
359 patients
Comparison
Standalone vs extracorporeal membrane oxygenation (ECMO)
  • Standalonen = 148
  • ECMOn = 211reference
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

Cartridge performance and duration
Median of two CytoSorb cartridges per cycle across both groups
two

Further findings

ICU survival

P < 0.001

Hospital survival

P < 0.001

OutcomeP value
RRT useSignificantly greater use with ECMOP < 0.001

RRT use

RRT in up to 34% of overall population

Original publication

Extracorporeal Blood Purification with CytoSorb in Patients with Shock: A Secondary Analysis of Standalone Circuit Configuration Versus Integrated Use within Extracorporeal Membrane Oxygenation in 359 Critically Ill Patients. J Cardiothorac Vasc Anesth. Published 3 September 2025. doi:10.1053/j.jvca.2025.09.006

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