Acute brain injury in adult post-cardiotomy cardiogenic shock patients receiving central vs. peripheral VA-ECMO: A single-center experience and systematic review with meta-analysis

Juyeon Ryu, Yiting Lin, Hyun Yi , Ahmad Hamid, Madison Malfitano, Parth Sutariya, Justin Lu, Melanie Crasta, Abdullah Mahmood, Yaman B. Ahmed, Marcus Spann, Glenn J. R, Sung-Min Cho, Soonchunhyang University College of Medicine, South Korea, Division of Neurosciences Critical Care and Cardiac Surgery, Departments of Neurology, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Drexel University College of Medicine, Lake Erie College of Osteopathic Medicine, Informationist Services, Johns Hopkins School of Medicine

Perfusion

Published online on June 17, 2026

Abstract

Perfusion, Ahead of Print.
BackgroundPostcardiotomy cardiogenic shock (PCS) is a life-threatening complication after adult cardiac surgery that frequently necessitates venoarterial extracorporeal membrane oxygenation (VA-ECMO). Central and peripheral VA-ECMO cannulation strategies ...