Practical Considerations for Extracorporeal Membrane Oxygenation Use During Orthotopic Liver Transplantation

Misty Radosevich; Alexandra Anderson; Miguel Teixeira; Ty Diwan; Julie Heimbach; Timucin Taner; Philip Spencer; Juan Diaz Soto; Alex Reynolds; Alexis Neff; Michael Krowka; John Bohman

doi:10.1053/j.jvca.2024.11.032

Practical Considerations for Extracorporeal Membrane Oxygenation Use During Orthotopic Liver Transplantation

J Cardiothorac Vasc Anesth. 2024 Nov 26:S1053-0770(24)00933-9. doi: 10.1053/j.jvca.2024.11.032. Online ahead of print.

Authors

Affiliations

¹ Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
² Department of Transplant Surgery, Mayo Clinic, Rochester, MN.
³ Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN.
⁴ Department of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
⁵ Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN. Electronic address: [email protected].

PMID: 39668049
DOI: 10.1053/j.jvca.2024.11.032

Abstract

Patients undergoing liver transplantation infrequently require extracorporeal membrane oxygenation (ECMO) support. However, when ECMO is required in the peritransplant period, several key considerations are required to maximize the efficacy of its support and minimize the risks of complications. This review seeks to briefly summarize the existing data supporting the use of ECMO in liver transplant patients and offers expert technical and practical advice from the authors' high-volume liver transplant center and ECMO program.

Keywords: ECMO; extracorporeal membrane oxygenation; liver transplantation.

Publication types

Review