Management of vascular complications of extra-corporeal membrane oxygenation

Anil K. Pillai, Zagum Bhatti, Andrew J. Bosserman, Manoj C. Mathew, Kaza Vaidehi, Sanjeeva P. Kalva


Extra-corporeal membrane oxygenation (ECMO) is a well-established treatment for cardiopulmonary failure. Based on the requirement for cardiac and or respiratory support different configurations of ECMO circuits are utilized. Vascular complication of ECMO constitutes the most important determinant of treatment outcomes. The complications are primarily related to limb ischemia, vascular injury, hemorrhage, and infection. Endovascular and surgical treatment options are the cornerstone for managing vascular complications of ECMO.