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. Author manuscript; available in PMC: 2024 Sep 28.
Published in final edited form as: Perfusion. 2023 Jun 30;39(6):1238–1246. doi: 10.1177/02676591231187548

Table 2.

Diagnostic evaluation profiles of ECMO patients with death by neurologic criteria

ID Age Sex ECMO Mode Neuro Exam Head CT Apnea Test EEG TCD
1 51 M VA No reflexes Severe cerebral edema with uncal herniation + Absent reactivity, low voltage, and absent physiologic patterns Absent waveforms and pulsatile indices
2 41 F VA No reflexes Diffuse ischemic injury and uncal herniation Not Performed Absent cerebral activity Short systolic spikes
3 42 F VA No reflexes Intraparenchymal hemorrhage + Not Performed Posterior cerebral circulatory arrest
4 43 M VV No reflexes Intraparenchymal and subarachnoid hemorrhages with midline shift + Suppressed cerebral activity with absent variability and reactivity Not Performed
5 57 M VV No reflexes Diffuse cerebral edema, cerebellar hemorrhage with tonsillar herniation + Extremely low voltage with no reactivity or spontaneous variability Short systolic spikes
6 48 M VV No reflexes Intraparenchymal hemorrhage with uncal herniation + Not Performed Not Performed
7 42 M VA No reflexes Diffuse cerebral edema with brainstem compression Not Performed Absent cerebral activity Not Performed
8 45* M VV No reflexes Intraparenchymal hemorrhage + Not Performed Anterior and posterior cerebral circulatory arrest with short systolic spikes
+:

Consistent with death by neurologic criteria. -: Not consistent with death by neurologic criteria

*

Had single photon emission computed tomography with Technetium-99m hexamethyl propylenamine oxime (HMPAO-SPECT) consistent with brain death