Subtypes and Mechanistic Advances of Extracorporeal Membrane Oxygenation-Related Acute Brain Injury

Extracorporeal membrane oxygenation (ECMO) is a frequently used mechanical cardiopulmonary support for rescuing critically ill patients for whom conventional medical therapies have failed. However, ECMO is associated with several complications, such as acute kidney injury, hemorrhage, thromboembolis...

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Main Authors: Bixin Deng, Junjie Ying, Dezhi Mu
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/8/1165
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author Bixin Deng
Junjie Ying
Dezhi Mu
author_facet Bixin Deng
Junjie Ying
Dezhi Mu
author_sort Bixin Deng
collection DOAJ
description Extracorporeal membrane oxygenation (ECMO) is a frequently used mechanical cardiopulmonary support for rescuing critically ill patients for whom conventional medical therapies have failed. However, ECMO is associated with several complications, such as acute kidney injury, hemorrhage, thromboembolism, and acute brain injury (ABI). Among these, ABI, particularly intracranial hemorrhage (ICH) and infarction, is recognized as the primary cause of mortality during ECMO support. Furthermore, survivors often suffer significant long-term morbidities, including neurocognitive impairments, motor disturbances, and behavioral problems. This review provides a comprehensive overview of the different subtypes of ECMO-related ABI and the updated advance mechanisms, which could be helpful for the early diagnosis and potential neuromonitoring of ECMO-related ABI.
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spelling doaj.art-a7166eddb04040deb9f42d4c2f5b5ce02023-11-19T00:26:40ZengMDPI AGBrain Sciences2076-34252023-08-01138116510.3390/brainsci13081165Subtypes and Mechanistic Advances of Extracorporeal Membrane Oxygenation-Related Acute Brain InjuryBixin Deng0Junjie Ying1Dezhi Mu2Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu 610041, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu 610041, ChinaDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu 610041, ChinaExtracorporeal membrane oxygenation (ECMO) is a frequently used mechanical cardiopulmonary support for rescuing critically ill patients for whom conventional medical therapies have failed. However, ECMO is associated with several complications, such as acute kidney injury, hemorrhage, thromboembolism, and acute brain injury (ABI). Among these, ABI, particularly intracranial hemorrhage (ICH) and infarction, is recognized as the primary cause of mortality during ECMO support. Furthermore, survivors often suffer significant long-term morbidities, including neurocognitive impairments, motor disturbances, and behavioral problems. This review provides a comprehensive overview of the different subtypes of ECMO-related ABI and the updated advance mechanisms, which could be helpful for the early diagnosis and potential neuromonitoring of ECMO-related ABI.https://www.mdpi.com/2076-3425/13/8/1165extracorporeal membrane oxygenationcritical illnessacute brain injurymorbidityhemodynamics
spellingShingle Bixin Deng
Junjie Ying
Dezhi Mu
Subtypes and Mechanistic Advances of Extracorporeal Membrane Oxygenation-Related Acute Brain Injury
Brain Sciences
extracorporeal membrane oxygenation
critical illness
acute brain injury
morbidity
hemodynamics
title Subtypes and Mechanistic Advances of Extracorporeal Membrane Oxygenation-Related Acute Brain Injury
title_full Subtypes and Mechanistic Advances of Extracorporeal Membrane Oxygenation-Related Acute Brain Injury
title_fullStr Subtypes and Mechanistic Advances of Extracorporeal Membrane Oxygenation-Related Acute Brain Injury
title_full_unstemmed Subtypes and Mechanistic Advances of Extracorporeal Membrane Oxygenation-Related Acute Brain Injury
title_short Subtypes and Mechanistic Advances of Extracorporeal Membrane Oxygenation-Related Acute Brain Injury
title_sort subtypes and mechanistic advances of extracorporeal membrane oxygenation related acute brain injury
topic extracorporeal membrane oxygenation
critical illness
acute brain injury
morbidity
hemodynamics
url https://www.mdpi.com/2076-3425/13/8/1165
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AT dezhimu subtypesandmechanisticadvancesofextracorporealmembraneoxygenationrelatedacutebraininjury