August 16, 2025

Annual review of clinical research on extracorporeal life support in 2024.

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Annual review highlights variable outcomes of ECMO types in cardiac support, suggesting refined management strategies are needed.

Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) shows no survival advantage and raises bleeding risks in cardiac patients, highlighting the need for caution.
Micro-axial flow pumps demonstrate a potential reduction in mortality, indicating they may be a preferable option for patients with acute myocardial infarction and shock.
Survival benefits of extracorporeal cardiopulmonary resuscitation (ECPR) in out-of-hospital cardiac arrest patients are validated, emphasizing its importance in emergency care.
New guidelines stress the need for improved neurological monitoring during ECMO and strategies for managing right ventricular injury during veno-venous ECMO.

Zhang et al. (2025) studied this question.

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