Percutaneous Decannulation Versus Open Surgical Decannulation in Patients Weaned From Venoarterial Extracorporeal Membrane Oxygenation: A Systematic Review and Meta-analysis
Authors' conclusion
The study suggests no significant difference between the percutaneous and open surgical decannulation approaches in patients undergoing femoral VA ECMO with respect to 30-day mortality and procedural success.
Study context
- Population
- Adults weaned from femoral venoarterial (VA) extracorporeal membrane oxygenation (ECMO)
- Participants
- 1,709 adults · 13 cohort studies
- Comparison
- Percutaneous vs conventional open surgical decannulation
- Outcome
- Mortality and procedural success
Methodological detailsPRISMA-compliant
- PRISMA-compliant
Pooled result
As reported in the abstract
30-day mortality and procedural success
Estimate (95% CI)P value
Percutaneous decannulation vs Open surgical decannulation
RR for 30-day mortality 0.78(0.59–1.04)
P = 0.09Percutaneous decannulation vs Open surgical decannulation
RR for procedural success 0.98(0.93–1.04)
P = 0.51Further pooled results
| Outcome | MD (CI) | P value | |
|---|---|---|---|
| RBC transfusion (units) | −0.34 (−0.60 to −0.09) | P = 0.008 | |
| −1−0.500.5Difference (linear scale) |
Hospital and ICU LOS
- No significant difference
Safety
| Outcome | RR (95% CI) | P value | |
|---|---|---|---|
| Wound infection | 0.26 (0.14–0.48) | P < 0.0001 | |
| Open revision | 0.52 (0.28–0.95) | P = 0.03 | |
| 0.10.31310Relative risk (log scale) |
| Outcome | RR (95% CI) | P value |
|---|---|---|
| Delayed wound healing | 0.03 (0.0–0.24) | P = 0.0008 |
Vascular and wound complications
- No significant differences
Original publication
Percutaneous Decannulation Versus Open Surgical Decannulation in Patients Weaned From Venoarterial Extracorporeal Membrane Oxygenation: A Systematic Review and Meta-analysis. J Cardiothorac Vasc Anesth. Published 3 April 2026. doi:10.
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