PMID- 37161616
OWN - NLM
STAT- MEDLINE
DCOM- 20231023
LR  - 20231023
IS  - 1525-1594 (Electronic)
IS  - 0160-564X (Linking)
VI  - 47
IP  - 9
DP  - 2023 Sep
TI  - Percutaneous decannulation of venoarterial extracorporeal membrane oxygenation 
      using the Manta vascular closure device: A systematic review and meta-analysis.
PG  - 1431-1441
LID - 10.1111/aor.14554 [doi]
AB  - OBJECTIVES: To perform a systematic review and meta-analysis of the techniques 
      and outcomes associated with percutaneous decannulation of venoarterial 
      extracorporeal membrane oxygenation (VA-ECMO) using the Manta vascular closure 
      device. BACKGROUND: Peripheral VA-ECMO can be used to treat critically ill 
      patients with conditions such as refractory cardiogenic shock. After percutaneous 
      implantation of VA-ECMO, VA-ECMO can also be decannulated completely 
      percutaneously by using a vascular closure device. The Manta vascular closure 
      device is a dedicated device used in the closure of large-bore arteriotomies by 
      sandwiching the arteriotomy with an intra-arterial toggle and an extraluminal 
      collagen plug. METHODS: We performed a thorough literature search using various 
      electronic databases. We included studies that reported outcomes after peripheral 
      femorofemoral VA-ECMO decannulation with the Manta vascular closure device. We 
      performed a meta-analysis of proportions on outcome measures, including technical 
      success, bleeding complications, vascular complications, wound complications, 
      major amputation, and procedural-related deaths. RESULTS: We included seven 
      studies with a total of 116 patients. The overall technical success of 
      percutaneous decannulation of VA-ECMO with the Manta vascular closure device was 
      93.7%. The overall incidence of bleeding, vascular and wound complications was 
      1.7%, 13.8%, and 3.4%, respectively. No patient required lower limb amputation or 
      died due to VA-ECMO decannulation. CONCLUSION: Percutaneous decannulation with 
      the Manta vascular closure device is an effective and safe procedure that should 
      be considered in suitable patients on VA-ECMO.
CI  - (c) 2023 International Center for Artificial Organ and Transplantation (ICAOT) and 
      Wiley Periodicals LLC.
FAU - Ng, Jun Jie
AU  - Ng JJ
AD  - Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic 
      and Vascular Surgery, National University Heart Centre, Singapore, Singapore.
AD  - Department of Surgery, Yong Loo Lin School of Medicine, National University of 
      Singapore, Singapore, Singapore.
AD  - SingVaSC, Singapore Vascular Surgical Collaborative, Singapore, Singapore.
FAU - Lee, Stefanie H T
AU  - Lee SHT
AD  - SingVaSC, Singapore Vascular Surgical Collaborative, Singapore, Singapore.
AD  - Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 
      Singapore.
FAU - Lim, Joseph K W
AU  - Lim JKW
AUID- ORCID: 0000-0002-2906-2550
AD  - Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic 
      and Vascular Surgery, National University Heart Centre, Singapore, Singapore.
AD  - SingVaSC, Singapore Vascular Surgical Collaborative, Singapore, Singapore.
FAU - Chan, Karen K W
AU  - Chan KKW
AD  - Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic 
      and Vascular Surgery, National University Heart Centre, Singapore, Singapore.
AD  - Department of Surgery, Yong Loo Lin School of Medicine, National University of 
      Singapore, Singapore, Singapore.
AD  - SingVaSC, Singapore Vascular Surgical Collaborative, Singapore, Singapore.
FAU - Lim, Mark D S
AU  - Lim MDS
AD  - Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic 
      and Vascular Surgery, National University Heart Centre, Singapore, Singapore.
AD  - SingVaSC, Singapore Vascular Surgical Collaborative, Singapore, Singapore.
FAU - Ahmed, Mohamed A I
AU  - Ahmed MAI
AD  - Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic 
      and Vascular Surgery, National University Heart Centre, Singapore, Singapore.
AD  - SingVaSC, Singapore Vascular Surgical Collaborative, Singapore, Singapore.
FAU - Loh, Stanley E K
AU  - Loh SEK
AD  - SingVaSC, Singapore Vascular Surgical Collaborative, Singapore, Singapore.
AD  - Department of Diagnostic Radiology, Woodlands Health Campus, Singapore, 
      Singapore.
FAU - Choong, Andrew M T L
AU  - Choong AMTL
AD  - Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic 
      and Vascular Surgery, National University Heart Centre, Singapore, Singapore.
AD  - Department of Surgery, Yong Loo Lin School of Medicine, National University of 
      Singapore, Singapore, Singapore.
AD  - SingVaSC, Singapore Vascular Surgical Collaborative, Singapore, Singapore.
AD  - Cardiovascular Research Institute, National University of Singapore, Singapore, 
      Singapore.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
DEP - 20230510
PL  - United States
TA  - Artif Organs
JT  - Artificial organs
JID - 7802778
SB  - IM
MH  - Humans
MH  - *Vascular Closure Devices/adverse effects
MH  - *Extracorporeal Membrane Oxygenation/methods
MH  - Shock, Cardiogenic/surgery/complications
MH  - Hemorrhage/etiology
MH  - Device Removal/adverse effects
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - ECMO
OT  - decannulation
OT  - meta-analysis
OT  - percutaneous
OT  - systematic review
EDAT- 2023/05/10 06:42
MHDA- 2023/10/23 12:42
CRDT- 2023/05/10 04:03
PHST- 2023/03/22 00:00 [revised]
PHST- 2022/12/27 00:00 [received]
PHST- 2023/04/19 00:00 [accepted]
PHST- 2023/10/23 12:42 [medline]
PHST- 2023/05/10 06:42 [pubmed]
PHST- 2023/05/10 04:03 [entrez]
AID - 10.1111/aor.14554 [doi]
PST - ppublish
SO  - Artif Organs. 2023 Sep;47(9):1431-1441. doi: 10.1111/aor.14554. Epub 2023 May 10.