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Distal Perfusion Timing, Early or Conservative, to Prevent Limb Ischemia During Peripheral VA-ECMO — DECIDE-ECMO  

Extracorporeal Membrane Oxygenation Complication Clinical Trial

Official title:
Comparison Of Conservative Versus Early Distal Perfusion Strategy to Prevent Acute Limb Ischemia in Peripheral Venoarterial Extracorporeal Membrane Oxygenation Patients

Clinical Trial Summary

Peripheral VA-ECMO is widely used in refractory cardiogenic shock patients as a salvage therapy. In most cases, the femoral artery and vein are used for the vascular approach. Large cannulas are usually used for proper oxygenation, which may cause peripheral limb ischemia. Distal perfusion catheterization (DPC) at the ipsilateral arterial cannula site is recommended to prevent distal limb ischemia. However, there is no consensus on the proper timing of DPC and additional invasive procedures may cause complications during VA-ECMO support. In this analysis, the investigators compare the clinical outcomes of distal limb ischemia complications between the conventional DPC group (DPC at the time of limb ischemia sign) and the preemptive DPC group (DPC at the time of VA-ECMO application).

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

  • Extracorporeal Membrane Oxygenation Complication
  • Ischemia
Clinical Trial Details
NCT number NCT05698628
Study type Interventional
Source Asan Medical Center
Contact Min-Seok Kim, PhD
Phone 82-2-3010-3948
Email msk@amc.seoul.kr
Status Recruiting
Phase N/A
Start date April 28, 2023
Completion date February 28, 2027
View Details
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