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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

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Manual Compression versus Suture-Mediated Closure Device Technique for VA-ECMO Decannulation.

Clemens Scherer^1,2, Christopher Stremmel^1,2, Enzo Lüsebrink^1,2

¹Department of Medicine I, University Hospital, LMU, Munich, Germany.

Journal of Interventional Cardiology

|April 1, 2022

Summary

Suture-mediated closure devices for VA-ECMO cannula removal are safe and effective. This technique may reduce the need for surgical intervention compared to manual compression alone.

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Published on: January 17, 2025

Area of Science:

Cardiovascular Medicine
Medical Devices
Surgical Techniques

Background:

The safety and efficacy of vessel closure devices for cannula removal in VA-ECMO patients remain under investigation.
Current decannulation strategies for VA-ECMO primarily rely on manual compression.

Purpose of the Study:

To evaluate the impact of vessel closure devices on cannula removal safety and efficacy in VA-ECMO patients.
To compare outcomes between manual compression and suture-mediated closure device techniques.

Main Methods:

Retrospective analysis of 180 VA-ECMO patients (January 2012 - June 2020).
Comparison of two decannulation periods: historical (manual compression) and current (manual compression or suture-mediated device).

Main Results:

Femoral compression system use decreased significantly from 71% to 39% with the current technique (p<0.01).
Vascular surgery rates showed a trend towards reduction (12% vs 2%, p=0.07).

Conclusions:

Suture-mediated closure device technique for VA-ECMO decannulation is feasible and safe.
This technique may reduce the need for surgical interventions compared to manual compression.