Success rate， complications and influencing factors of percutaneous ultrasound-guided extracorporeal membrane oxygenation （ECMO） puncture and catheterization: a single-center retrospective analysis
Objective To investigate the success rate， complications and influencing factors of extracorporeal membrane oxygenation （ECMO） puncture and catheterization under ultrasound guidance. Methods Clinical cases of veno-arterial ECMO were collected. The success rate and incidence of complications of ultra...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of New Medicine
2023-05-01
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| Series: | Xin yixue |
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| Online Access: | https://www.xinyixue.cn/fileup/0253-9802/PDF/1686187796797-1100752458.pdf |
| _version_ | 1797808910223015936 |
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| author | Chen Jiehuan, Zhang Weina, Liu Yingpei, Zhou Furong, Jiang Wei |
| author_facet | Chen Jiehuan, Zhang Weina, Liu Yingpei, Zhou Furong, Jiang Wei |
| author_sort | Chen Jiehuan, Zhang Weina, Liu Yingpei, Zhou Furong, Jiang Wei |
| collection | DOAJ |
| description | Objective To investigate the success rate， complications and influencing factors of extracorporeal membrane oxygenation （ECMO） puncture and catheterization under ultrasound guidance. Methods Clinical cases of veno-arterial ECMO were collected. The success rate and incidence of complications of ultrasound-guided percutaneous catheterization were analyzed. Meantime， gender， age， cardiac function （ejection fraction （EF） < 30%/EF≥30%）， target artery diameter （< 5.0 mm/≥5.0 mm）， success of one-time puncture， hypertension and other variables were included. Univariate and/or multivariate logistic regression analyses were used to analyze the influencing factors of the overall success rate and complications of catheterization in extracorporeal cardiopulmonary resuscitation （ECPR） patients （ECPR group） and non-ECPR patients （non-ECPR group）. Results 65 cases of veno-arterial ECMO were included in the study， with an average age of （49.3±18.2） years. 23 cases were assigned in the ECPR group and 42 cases in the non-ECPR group. The overall success rate of ultrasound-guided ECMO catheterization was 86%， 78% in the ECPR group and 91% in non-ECPR group. 13 cases developed hematoma and 5 cases of distal limb ischemia after puncture.Logistic regression analyses showed that the target artery diameter and the success of one-time puncture were the influencing factors for the success rate of overall puncture and catheterization， and the success of one-time puncture was also the influencing factor for the incidence rate of hematoma （all P < 0.05）. In subgroup analysis， the diameter of target artery was found to be a factor affecting the success rate of puncture and catheterization in the ECPR group （P < 0.05）， whereas no statistically significant factor was found in the non-ECPR group （all P > 0.05）. Conclusions Percutaneous ultrasound-guided ECMO catheterization has a high success rate and safety. For non-ECPR patients and those with target artery diameter of ≥5 mm， percutaneous ultrasound-guided ECMO catheterization is the optimal option. Successful one-time puncture should be guaranteed， which can not only improve the success rate of final puncture and catheterization， but also reduce the incidence of hematoma. |
| first_indexed | 2024-03-13T06:44:42Z |
| format | Article |
| id | doaj.art-d91e7ec9f951423a87232dc4699263bd |
| institution | Directory Open Access Journal |
| issn | 0253-9802 |
| language | zho |
| last_indexed | 2024-03-13T06:44:42Z |
| publishDate | 2023-05-01 |
| publisher | Editorial Office of Journal of New Medicine |
| record_format | Article |
| series | Xin yixue |
| spelling | doaj.art-d91e7ec9f951423a87232dc4699263bd2023-06-08T08:59:10ZzhoEditorial Office of Journal of New MedicineXin yixue0253-98022023-05-0154535936410.3969/j.issn.0253-9802.2023.05.011Success rate， complications and influencing factors of percutaneous ultrasound-guided extracorporeal membrane oxygenation （ECMO） puncture and catheterization: a single-center retrospective analysisChen Jiehuan, Zhang Weina, Liu Yingpei, Zhou Furong, Jiang Wei0△Graduate School， Guangdong Medical University， Dongguan 523000， ChinaObjective To investigate the success rate， complications and influencing factors of extracorporeal membrane oxygenation （ECMO） puncture and catheterization under ultrasound guidance. Methods Clinical cases of veno-arterial ECMO were collected. The success rate and incidence of complications of ultrasound-guided percutaneous catheterization were analyzed. Meantime， gender， age， cardiac function （ejection fraction （EF） < 30%/EF≥30%）， target artery diameter （< 5.0 mm/≥5.0 mm）， success of one-time puncture， hypertension and other variables were included. Univariate and/or multivariate logistic regression analyses were used to analyze the influencing factors of the overall success rate and complications of catheterization in extracorporeal cardiopulmonary resuscitation （ECPR） patients （ECPR group） and non-ECPR patients （non-ECPR group）. Results 65 cases of veno-arterial ECMO were included in the study， with an average age of （49.3±18.2） years. 23 cases were assigned in the ECPR group and 42 cases in the non-ECPR group. The overall success rate of ultrasound-guided ECMO catheterization was 86%， 78% in the ECPR group and 91% in non-ECPR group. 13 cases developed hematoma and 5 cases of distal limb ischemia after puncture.Logistic regression analyses showed that the target artery diameter and the success of one-time puncture were the influencing factors for the success rate of overall puncture and catheterization， and the success of one-time puncture was also the influencing factor for the incidence rate of hematoma （all P < 0.05）. In subgroup analysis， the diameter of target artery was found to be a factor affecting the success rate of puncture and catheterization in the ECPR group （P < 0.05）， whereas no statistically significant factor was found in the non-ECPR group （all P > 0.05）. Conclusions Percutaneous ultrasound-guided ECMO catheterization has a high success rate and safety. For non-ECPR patients and those with target artery diameter of ≥5 mm， percutaneous ultrasound-guided ECMO catheterization is the optimal option. Successful one-time puncture should be guaranteed， which can not only improve the success rate of final puncture and catheterization， but also reduce the incidence of hematoma.https://www.xinyixue.cn/fileup/0253-9802/PDF/1686187796797-1100752458.pdf|extracorporeal membrane oxygenation|puncture and catheterization|success rate|complication|influencing factor |
| spellingShingle | Chen Jiehuan, Zhang Weina, Liu Yingpei, Zhou Furong, Jiang Wei Success rate， complications and influencing factors of percutaneous ultrasound-guided extracorporeal membrane oxygenation （ECMO） puncture and catheterization: a single-center retrospective analysis Xin yixue |extracorporeal membrane oxygenation|puncture and catheterization|success rate|complication|influencing factor |
| title | Success rate， complications and influencing factors of percutaneous ultrasound-guided extracorporeal membrane oxygenation （ECMO） puncture and catheterization: a single-center retrospective analysis |
| title_full | Success rate， complications and influencing factors of percutaneous ultrasound-guided extracorporeal membrane oxygenation （ECMO） puncture and catheterization: a single-center retrospective analysis |
| title_fullStr | Success rate， complications and influencing factors of percutaneous ultrasound-guided extracorporeal membrane oxygenation （ECMO） puncture and catheterization: a single-center retrospective analysis |
| title_full_unstemmed | Success rate， complications and influencing factors of percutaneous ultrasound-guided extracorporeal membrane oxygenation （ECMO） puncture and catheterization: a single-center retrospective analysis |
| title_short | Success rate， complications and influencing factors of percutaneous ultrasound-guided extracorporeal membrane oxygenation （ECMO） puncture and catheterization: a single-center retrospective analysis |
| title_sort | success rate complications and influencing factors of percutaneous ultrasound guided extracorporeal membrane oxygenation ecmo puncture and catheterization a single center retrospective analysis |
| topic | |extracorporeal membrane oxygenation|puncture and catheterization|success rate|complication|influencing factor |
| url | https://www.xinyixue.cn/fileup/0253-9802/PDF/1686187796797-1100752458.pdf |
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