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. 2021 Jan 19;37(Suppl 2):327–337. doi: 10.1007/s12055-020-01099-5

Table 3.

Case series comparing intraoperative ECMO and CPB during lung transplantation

Authors Year Groups compared Total pts No Support ECMO CPB Postop MV PGD at T72h Survival/mortality Comments
Zhang et al. [51] 2020

ECMO vs

No ECMO

138 94 44 No

1-, 3-, 12-month survival

ECMO 90.9%, 72.7%, 56.8%

No ECMO 95.4%, 82.7%, 73.6%

Preop factors for ECMO: age, high PA, preop MV
Hashimoto et al. [52] 2018 VV ECMO vs VA ECMO 34

VV 20

VA 11

3

1-year survival

VA 90%, VV 73.1%

No difference

Machuca et al. [53] 2015 ECMO vs CPB 99 33 66 3 days vs 7.5 days 90-day mortality ECMO 6% vs CPB 15% ICU, Hosp stay, and blood requirement less for ECMO
Biscotti et al. [54] 2014 ECMO vs CPB 102 47 55 ECMO 26 (56.5%) CPB 42 (76.4%)

No survival difference in

30 days or 1 year

ECMO required less transfusions and bleeding
Ius et al. [55] 2012 ECMO vs CPB 92 46 46

3-, 9-, 12-month survival

CPB 70.59.56% vs ECMO 87,81,81%

ECMO less PRC, platelet intraop

Bittner et al.

[56]

2007 ECMO vs CPB 47 8 7 Increased infections and mortality in ECMO Higher blood product use in ECMO
Aigner et al. [57] 2007 ECMO vs CPB vs No Support 149 130 27

3-month, 1-year, 3-year survival

ECMO 85.4%, 74.2%, 67.6%

No ECMO 93.5%, 91.9%, 86.5%

CPB 74%, 65.9%, 57.7%

ECMO is a valuable tool and can replace CPB