Neuroanesthesia & neurocritical care
Spinal Cord Injury Following Venoarterial Extracorporeal Membrane Oxygenation: A Scoping Review
Authors' conclusion
Spinal infarction/ischemia on VA ECMO typically presents with paraplegia of lower extremities with low potential for even partial recovery.
Study context
- Population
- Adults on VA ECMO for cardiogenic shock with ischemic spinal cord injury
- Participants
- 30 adult patients
- Outcome
- Presentation and neurological outcome of spinal cord infarction/ischemia
Methodological detailsindividual patient data, 3 previously unpublished institutional cases added
- Individual patient data
- 3 previously unpublished institutional cases added
Main finding
As reported in the abstract
Paraplegia of both lower extremities
27/90%
Weakness of both lower extremities
3/10%
MRI consistent with infarction (ischemia in the rest)
88.5%
Complete recovery on follow-up
0
Observational data: associations, not effects.
Further findings
Survival to discharge (reported in 24 cases)
- Survived
- 17/70.8%
- Died
- 7/29.2%
Patient characteristics
- Mean age, years
- 47.7 ± 17.8
- Duration on ECMO, median (range), days
- 10 (3 to 47)
- Peripheral ECMO via femoral arterial cannula in all patients
Original publication
Spinal Cord Injury Following Venoarterial Extracorporeal Membrane Oxygenation: A Scoping Review. J Cardiothorac Vasc Anesth. Published 8 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →