Table 3 Studies on patients with acute, massive, high-risk PE on VA-ECMO support included in the systematic review
Reference | Inclusion dates | Patients, n | Pre-ECMO | Fibrinolytic therapy (%) | Mechanical PE removal on ECMO (n patients) | VA-ECMO-related complications (n patients) | Survival (%) | |
|---|---|---|---|---|---|---|---|---|
Cardiac arrest (%) | Mechanical PE removal (n patients) | |||||||
Kawahito et al. [35] | 1994–1998 | 7 | 71 | 0 | 100 | 3 surgical pulmonary embolectomies | 0 | 57 |
Maggio et al. [4] | 1992–2005 | 21a | 38 | 6 suction and 2 surgical pulmonary embolectomies | 29 | 1 suction and 2 surgical pulmonary embolectomies | 4 catastrophic neurological events; 1 dislodged arterial cannula | 62 |
Sakuma et al. [36] | 1983–2006 | 7 | NR | 0 | 86 | 1 suction and 1 surgical pulmonary embolectomies | NR | 57 |
Malekan et al. [5] | 2005–2011 | 4 | NR | 0 | 0 | 1 suction pulmonary embolectomy | None | 100 |
Munakata et al. [30] | 1992–2008 | 10 | 90 | 2 suction pulmonary embolectomies | 100 | 7 suction pulmonary embolectomies | 2 major bleeding | 70 |
Omar et al. [37] | 2007–2011 | 4 | 50 | 1 suction and 2 surgical pulmonary embolectomies | 25 | None | NR | 25 |
Maj et al. [38] | NR | 6 | 100 | None | 66 | 1 surgical pulmonary embolectomy | 3 major bleeding | 33 |
Swol et al. [39] | 2008–2014 | 5 | 100 | None | 60 | 1 surgical pulmonary embolectomy | 1 major bleeding | 40 |
Cho et al. [40] | 2000–2013 | 13 | NR | None | 15 | 11 surgical pulmonary embolectomies | NR | NR |
This study | 2006–2015 | 17 | 88 | 1 suction and 1 surgical pulmonary embolectomies | 47 | 1 suction and 1 surgical pulmonary embolectomies | 15 major bleeding | 47b |