Xu M, Yan JY, Jin JJ, Li T. Cerebral pseudoinfarction due to venoarterial extracorporeal membrane oxygenation: A case report. World J Clin Cases 2024; 12(17): 3130-3137 [PMID: 38898845 DOI: 10.12998/wjcc.v12.i17.3130]
Corresponding Author of This Article
Tong Li, PhD, Chief Doctor, Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. drli@zju.edu.cn
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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/
World J Clin Cases. Jun 16, 2024; 12(17): 3130-3137 Published online Jun 16, 2024. doi: 10.12998/wjcc.v12.i17.3130
Cerebral pseudoinfarction due to venoarterial extracorporeal membrane oxygenation: A case report
Mi Xu, Jue-Yue Yan, Jia-Jia Jin, Tong Li
Mi Xu, Jue-Yue Yan, Jia-Jia Jin, Tong Li, Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
Author contributions: Xu M and Yan JY contributed to manuscript writing, editing, and data collection; Jin JJ contributed to data analysis; Li T contributed to conceptualization and supervision. All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Tong Li, PhD, Chief Doctor, Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. drli@zju.edu.cn
Received: February 4, 2024 Revised: March 16, 2024 Accepted: April 22, 2024 Published online: June 16, 2024 Processing time: 121 Days and 6.9 Hours
Core Tip
Core Tip: In venoarterial extracorporeal membrane oxygenation (VA-ECMO) patients, neurological complications are common and require sedation and tracheal intubation, limiting neurological assessment and necessitating reliance on advanced neuroimaging techniques, such as computed tomography angiography (CTA) and computed tomography perfusion (CTP). We report a rare case of VA-ECMO-induced abnormal flow patterns causing unique CTA and CTP artifacts mimicking cerebral infarction. Combined with the analysis of PubMed index cases, we found that peripheral VA-ECMO CTA and CTP may generate rare artifacts, which may mislead clinicians in diagnosing acute stroke, posing serious consequences for patients. Early detection is vital for prognosis, and noninvasive monitoring methods (transcranial Doppler, near-infrared spectroscopy, and continuous electroencephalography) can aid in identification.
