Suture-based vs. pure plug-based vascular closure devices for VA-ECMO decannulation

Abstract Background VA-ECMO is a valuable treatment option for patients in cardiogenic shock, but complications during decannulation may worsen the overall outcome. To date, no larger study has ever compared suture-based to pure plug-based vessel closure devices decannulation. Purpose The aim of was compare efficacy and safety vascular veno-arterial extracorporeal membrane oxygenation (VA-ECMO) with shock. Methods In this retrospective study, outcome 33 implanted between 02/2019 05/2020 were 38 closured device 06/2020 11/2021. Results Closure success rate 88% group versus 97% (Figure 1, p=0.27). Median number used two 1 (p<0.01). Severe bleeding more frequent (21%) (3%) 2, p=0.04). Ischemic occurred 6% 5% (p=1.00). Pseudoaneurysm formation detected 3% both groups Application femoral compression system required 27% patient 11% (p=0.13). No switch open surgery due failure groups. Conclusions Based on our analysis, we propose that should be preferred This hypothesis further tested randomized trial. Funding Acknowledgement Type funding sources: Public grant(s) – National budget only. Main source(s): Deutsche Forschungsgemeinschaft