Extracorporeal Membrane Oxygenation in Aortic Surgery and Dissection: A Systematic Review
Capoccia and Maybauer performed a system review of 29 publications related to the use of ECMO in aortic surgery and aortic dissection. A total of 194 patients who had been treated with ECMO support were identified, with a survival rate of 39.7% (77/194). The authors conclude that the use of ECMO in major aortic surgery or dissection is justified, despite that there is no compelling evidence for or against the use of ECMO in this patient population.
in my opinion one of the obstacles to better outcomes is that vasoplegia and inflammation, caused by dissection and the respective surgery, this is worsed by the use of ecmo that could lead the patient to Death