Disclaimer for the US market

The products and information provided on this website are intended for healthcare professionals. These products are not for sale or distribution in the United States and statements made regarding these products have not been evaluated by the U.S. Food and Drug Administration (FDA). The efficacy of these products has not been confirmed by FDA-approved research and these products are therefore not intended to diagnose, treat, cure or prevent any disease. All information presented here is for general information purposes only and not meant as a substitute for or alternative to advice from healthcare practitioners. The Federal Food, Drug and Cosmetic Act requires this notice.

Neither the Company nor its representatives is providing any medical advice, and none should be inferred, from any ideas, suggestions, testimonials or other information set forth on this website or in other Company materials or provided over the phone, in the mail, in product packaging, or in email correspondence. This website may contain links to third-party websites. The Company provides these links as a convenience only and does not endorse any of these sites. The Company is not responsible for the content of, and does not make any representations regarding the materials on, such linked third-party websites. If you decide to access or rely on information at linked third-party website, you do so at our own risk. Our terms and conditions, including disclaimers, are more fully set forth in our Terms of Use, Privacy Policy and Terms of Online Sales.

ECLS supported transport of ICU patients: does out-of -house implantation impact survival?

Journal of Cardiothoracic Surgery, Ausgabe 1/2021


Extracorporeal life support (ECLS) is a potentially life-saving technique applied to critically ill patients with severe cardiac and/or pulmonary failure, and its use has increased over the past decades [ 1, 2].

Generally, two forms of ECLS are available: venous-venous (v-v) support for hypoxic respiratory failure and acute respiratory distress syndrome (ARDS), and venous-arterial support for cardiac failure/cardiogenic shock [ 3].

The use of ECLS is expanding, and with growing experience and availability of reliable devices, this treatment option is no longer limited to large, tertiary centers but is also available in some smaller, secondary centers. However, an increasing number of tertiary centers are now offering mobile ECLS teams to transport severely ill patients from smaller secondary and primary centers with the possibility of ECLS cannulation on-site. Since the first report of a successful ECLS transport in 1986, this potentially life-saving treatment option has gained widespread use [ 4]. In recent years, a number of single center studies have been published on the experience with mobile ECLS teams. Here, we present our experience with the mobile ECLS team and compare its outcome to our extensive in-house experience. We aim at answering the question whether extra-hospital ECLS implantation has an influence on mortality and morbidity.


We retrospectively analyzed all extracorporeal membrane oxygenation implantations performed in-house at our center and at outside hospitals from 2012 until 2018.

During this time, a total of 978 ECLS implantations were performed, of which 243 were performed on-site in tertiary hospitals for ECLS supported transportation. Contact was usually initiated by the referring clinic to the cardiac surgery department by telephone. After careful consideration with the collaborating departments, the patient was selected for either v-v or v-a support. Patients eligible for v-v ECLS support were critically ill patients with potentially reversible respiratory failure or indication/candidate for lung transplant with a peak inspiratory pressure > 32 mmHg, refractory hypercarbia (pH < 7.2) despite optimal respiratory maneuvers. Indications for v-a support were patients in cardiogenic shock with treatment options (reversible/VAD/transplant/surgery candidate) with acedemia, lactatemia, under high doses of catecholamines.

The mobile ECMO team consists of a cardiac surgeon and a perfusionist. Transport was carried out as appropriate, either ground based or via helicopter/airplane for longer distances (> 150 km). We used the CARDIOHELP-System (Getinge, Getinge, Sweden) console and a variety of cannulas (Novaport, Avalon, BioMedicus, Twinport, HLS) at the surgeon’s discretion. Based on our experience with femoral v-a cannulation, we have a mandatory approach to establish distal limb perfusion. If not possible on-site, distal limb perfusion is performed either through open surgery or ultrasound-guided after arrival at our center. V-v support is either performed via cannulation of the femoral vein and the jugular vein or by a twin-port canula via the femoral vein if hypercarbia is the main reason for respiratory failure.


Resuscitec GmbH
Engesserstraße 4a
D-79108 Freiburg


Sie erhalten das Presseclipping der Resuscitec GmbH aufgrund Ihrer Beziehung zu unserem Unternehmen. Wir verarbeiten Ihre Daten auf Grundlage unseres berechtigten Interesses zum Zweck der persönlichen Ansprache und zum Versand unseres Presseclippings. Verantwortlich für die Datenverarbeitung ist die Resuscitec GmbH. Weitere Informationen zum Datenschutz finden Sie in unseren Datenschutzhinweisen. Sie können der Verarbeitung Ihrer personenbezogenen Daten für den Versand des Presseclippings jederzeit formlos widersprechen.


Aus urheberrechtlichen Gründen dürfen die Artikel weder in digitaler noch ausgedruckter Form an Dritte weitergegeben werden. Sie sind nur zum persönlichen Gebrauch bestimmt, der Aufbau einer Datenbank mit digitalisierten Artikeln ist nicht erlaubt.