Comparison of distal perfusion timing in peripheral VA-ECMO patients

Comparison of conventional versus preemptive distal perfusion strategy in peripheral venoarterial extracorporeal membrane oxygenation patients to prevent acute limb ischemia

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

CRIS

Registry ID

KCT0008043

Enrollment

400

Registered

2022-12-29

Start date

2023-04-28

Completion date

Unknown

Last updated

2023-08-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Procedure/Surgery : Distal perfusion catheterization will be done within 1 hour after VA-ECMO application in early DPC group. Conservative DPC group will undergo distal perfusion catheterization at th

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Adult patients in refractory cardiogenic shock and peripheral VA-ECMO support with informed consent

Exclusion criteria

Exclusion criteria: 1. Unwilling or unable to obtain informed consent by the participant or substitute decision maker 2. Patients who are currently pregnant, postpartum period within 30 days or breast-feeding 3. VA-ECMO application for causes other than cardiogenic shock 4. Severe coagulopathy 5. End-staged cancer diseases 6. Irreversible cerebral dysfunction 7. Irreversible limb ischemia requiring interventional procedures or surgery at the time of VA-ECMO

Design outcomes

Primary

Measure	Time frame
Lower limb ischemia requiring interventional procedures or surgery or resulting in neurological sequelae	—

Secondary

Measure	Time frame
Mortality;Successful VA-ECMO weaning;Major bleeding;Systemic thromboembolism;Complication related with distal perfusion catheter;Time to distal perfusion catheterization;ICU days, Total hospital days	—

Countries

Korea, Republic of

Contacts

Public ContactAh-Ram Kim

Asan Medical Center

ahram3256@gmail.com+82-2-3010-0111

Outcome results