{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:42:02Z","timestamp":1791981722815,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Venoarterial extracorporeal membrane oxygenation (VA\u2010ECMO) provides temporary circulatory support for patients with severe cardiac failure. Traditionally, decannulation involves open surgical cut\u2010down of the common femoral artery, which carries a high risk of wound complications. Percutaneous techniques using vascular closure devices have emerged as a less invasive alternative. This pilot study evaluates the feasibility and early outcomes of a percutaneous VA\u2010ECMO decannulation technique using the\n                      <jats:italic>Abbott Pro\u2010Style<\/jats:italic>\n                      closure device, compared with surgical cut\u2010down.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective, single\u2010centre review was conducted of patients undergoing percutaneous VA\u2010ECMO decannulation at Royal Prince Alfred Hospital between November 2023 and July 2024. Patients were matched by age and sex to a control group treated with surgical cut\u2010down. Data included demographics, ECMO indication and duration, procedural characteristics, vascular complications and groin wound outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The percutaneous technique was performed in 15 patients (mean age 56.7\u2009\u00b1\u200913.9\u2009years). Technical success was achieved in 87% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913), with two cases converted to open surgery due to device failure and haemorrhage. Mean procedure time was 74.3\u2009\u00b1\u200926.3\u2009min versus 101.5\u2009\u00b1\u200947.2\u2009min for surgical cut\u2010down (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.06). Groin wound complication occurred in one percutaneous patient compared to five surgical patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.07). ICU stay and survival to discharge were comparable between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This early experience supports the feasibility of percutaneous VA\u2010ECMO decannulation using the\n                      <jats:italic>Abbott Pro\u2010Style<\/jats:italic>\n                      closure device, with promising signals toward reduced wound complications and shorter procedure times. Larger prospective studies are needed to confirm these preliminary findings.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70445","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T12:45:22Z","timestamp":1766493922000},"page":"867-872","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Initial Single\u2010Centre Experience With the\n                    <i>Abbott Pro\u2010Style<\/i>\n                    Closure Device for Percutaneous Decannulation Following Venoarterial Extracorporeal Membrane Oxygenation Weaning"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1299-6099","authenticated-orcid":false,"given":"Dushan","family":"Miladinovic","sequence":"first","affiliation":[{"name":"Royal Prince Alfred Hospital  Sydney 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