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Related Experiment Video

Updated: Feb 23, 2026

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Mobile ECMO - A divine technology or bridge to nowhere?

Julia Merkle1, Ilija Djorjevic1, Anton Sabashnikov1

  • 1a Department of Cardiothoracic Surgery , Heart Center, University Hospital of Cologne , Cologne , Germany.

Expert Review of Medical Devices
|September 8, 2017
PubMed
Summary

Mobile extracorporeal membrane oxygenation (ECMO) services bring life-saving heart and lung support to local hospitals. These services enable critically ill patients to receive specialized care, improving outcomes beyond traditional treatments.

Keywords:
Cardiohelp®ECMO retrievalExtracorporeal membrane oxygenation (ECMO)extracorporeal life support (ECLS)interhospital transportmobile ECMOvaECMOvvECMO

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Area of Science:

  • Cardiology
  • Pulmonology
  • Critical Care Medicine

Background:

  • Extracorporeal life support (ECL S) is a critical intervention for severe, refractory hemodynamic or respiratory failure.
  • Historically, ECL S was confined to specialized tertiary-care centers due to the need for experienced teams.
  • The development of mobile ECL S services aims to extend this life-saving capability to local hospitals.

Purpose of the Study:

  • To review the current scientific literature on the use, indications, and complications of mobile extracorporeal membrane oxygenation (ECMO) devices and services.
  • To summarize the advancements and challenges associated with out-of-hospital ECMO retrieval.

Main Methods:

  • A comprehensive literature search was conducted across major databases: MEDLINE, Embase, Cochrane, and Web of Science.
  • Keywords related to mobile ECMO, retrieval services, indications, and complications were utilized.
  • The review synthesizes current scientific evidence on the topic.

Main Results:

  • Mobile ECMO services provide hemodynamic and/or respiratory stabilization for critically ill patients.
  • These services facilitate the transport of patients to specialized centers for advanced treatment.
  • Out-of-hospital ECMO implantation and retrieval involve significant organizational, logistical, and clinical considerations compared to in-hospital support.

Conclusions:

  • Mobile ECMO is a vital option for patients with severe heart and lung failure who are refractory to conventional therapy.
  • The expansion of mobile ECMO services is increasing, driven by evidence of improved patient outcomes.
  • While offering significant benefits, mobile ECMO requires careful planning and execution to manage its unique challenges.