March 3, 2026Open Access

Central versus peripheral veno-arterial extracorporeal membrane oxygenation during lung transplantation: a systematic review and meta-analysis

Key Points

Postoperative morbidity was higher with peripheral veno-arterial extracorporeal membrane oxygenation (pVA-ECMO), revealing significant concerns.
Both central and peripheral ECMO approaches resulted in comparable survival and PGD3 incidence, though outcomes varied.
This systematic review and meta-analysis encompass multiple studies focusing on lung transplantation and ECMO strategies.
Caution is advised when interpreting results, highlighting the need for individualized cannulation strategies in clinical practice.

Abstract

Although survival and PGD3 incidence were comparable, pVA-ECMO was associated with greater postoperative morbidity and vascular complications. These findings should be interpreted with caution, and cannulation strategy should be individualized according to patient risk profile, surgical context, and center-specific expertise rather than favoring one approach uniformly.

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Discussion

Authors

Lucas Monteiro Delgado

Júlia Luíza do Sacramento Silva

Rachid Eduardo Noleto da Nobrega Oliveira

Journals

SHILAP Revista de lepidopterología

JHLT Open

Actions

Institutions

Universidade Federal de Minas Gerais

Jena University Hospital

Brazilian Center for Research in Energy and Materials

References and Citations

Connected Papers

Building similarity graph...

Analyzing shared references across papers

Central versus peripheral veno-arterial extracorporeal membrane oxygenation during lung transplantation: a systematic review and meta-analysis

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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