Systematic Reviews
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Dec 20, 2019; 8(8): 135-147
Published online Dec 20, 2019. doi: 10.5492/wjccm.v8.i8.135
Extra-corporeal membrane oxygenation in aortic surgery and dissection: A systematic review
Massimo Capoccia, Marc O Maybauer
Massimo Capoccia, Department of Aortic and Cardiac Surgery, Royal Brompton Hospital, Royal Brompton and Harefield NHS Foundation Trust, London SW3 6NP, United Kingdom
Marc O Maybauer, Department of Anaesthesia, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester M13 9WL, United Kingdom
Marc O Maybauer, Department of Anaesthesiology and Intensive Care Medicine, Phillips University, Marburg 35037, Germany
Marc O Maybauer, Critical Care Research Group, The Prince Charles Hospital and The University of Queensland, Brisbane QLD 4032, Queensland, Australia
Marc O Maybauer, Advanced Critical Care and Transplant Institute, Integris Baptist Medical Centre, Oklahoma City, OK 73112, United States
Author contributions: Capoccia M and Maybauer MO contributed equally to the work; Capoccia M and Maybauer MO conceptualized and designed the review; Capoccia M and Maybauer MO carried out the analysis; Capoccia M drafted the initial manuscript; Capoccia M and Maybauer MO reviewed and approved the submitted manuscript.
Conflict-of-interest statement: The authors declare no conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Massimo Capoccia, MD, MSc, Surgeon, Senior Aortic Fellow, Department of Aortic and Cardiac Surgery, Royal Brompton Hospital, Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, Chelsea, London SW3 6NP, United Kingdom. capoccia@doctors.org.uk
Telephone: +44-20-73528121
Received: October 15, 2019
Peer-review started: October 15, 2019
First decision: October 25, 2019
Revised: November 28, 2019
Accepted: November 28, 2019
Article in press: November 28, 2019
Published online: December 20, 2019
ARTICLE HIGHLIGHTS
Research background

Extra-corporeal membrane oxygenation (ECMO) support following major aortic surgery with particular reference to aortic dissection remains controversial without clear direction. We aim to shed some lights on the subject in order to make an impact and give a clear view that may well lead to further studies.

Research motivation

We believe that a clear direction based on evidence may change current attitude.

Research objectives

Although ECMO support is not perfect, it does work when appropriately considered and performed. We believe it may become an additional option in aortic surgery.

Research methods

The methods have been already described in the article.

Research results

The results are promising and may lead to further studies to improve outcomes.

Research conclusions

There is enough evidence to support our statement although we would like to think that further studies can be pursued to confirm our initial findings.

Research perspectives

There is potential to support further studies in the future.