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 |