Table 4.
ECMO Rates of Select Complications (Per 1,000 ECMO Hours) by Support Type, Adults, 2017–2022
Complication | Respiratory | Cardiac | ECPR |
---|---|---|---|
Cannula problems | 0.155 | 0.206 | 0.377 |
Air in circuit | 0.025 | 0.051 | 0.083 |
Circuit change | 0.258 | 0.177 | 0.180 |
Clots and air emboli | 0.006 | 0.008 | 0.016 |
Thrombosis/clots in circuit component | 0.103 | 0.225 | 0.282 |
Renal replacement therapy | 0.574 | 1.655 | 1.924 |
Cannula site bleeding | 0.123 | 0.751 | 1.059 |
Surgical site bleeding | 0.156 | 0.871 | 0.643 |
GI hemorrhage | 0.136 | 0.272 | 0.392 |
Tamponade (blood) | 0.020 | 0.212 | 0.171 |
CNS hemorrhage by US/CT/MRI | 0.107 | 0.154 | 0.272 |
CNS infarction by US/CT/MRI | 0.031 | 0.208 | 0.365 |
Seizures (clinical or on EEG) | 0.019 | 0.068 | 0.241 |
Brain death | 0.024 | 0.072 | 0.433 |
Hemolysis (all types) | 0.160 | 0.282 | 0.351 |
Limb Ischemia | 0.021 | 0.241 | 0.410 |
Compartment syndrome | 0.005 | 0.053 | 0.092 |
Fasciotomy | 0.010 | 0.156 | 0.232 |
Amputation | 0.004 | 0.042 | 0.052 |
CNS, central nervous system; CT, computed tomography; dL, deciliter; ECPR, extracorporeal cardiopulmonary resuscitation; EEG, electroencephalogram; GI, gastrointestinal; mg, milligram; MRI, magnetic resonance imaging; US, ultrasound; WBC, white blood cell.