{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T15:32:40Z","timestamp":1782401560722,"version":"3.54.5"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007028","name":"Leona M. and Harry B. Helmsley Charitable Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007028","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["TL1TR001880"],"award-info":[{"award-number":["TL1TR001880"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To summarize the currently available evidence regarding the effectiveness and safety of extracorporeal membrane oxygenation (ECMO) cannulation performed by intensivists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a systematic search of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials for studies of any design in which patients underwent ECMO cannulation by intensivists. The search was updated on Dec 15, 2024. Two independent authors screened titles and abstracts for general applicability, followed by full-text review to determine whether studies met the following criteria: (1) adult patients and (2) ECMO cannulation performed by intensivists. Two independent authors extracted study characteristics and outcomes of interest. The Freeman-Tukey double arcsine transformation was used to stabilize variance. A random-effects model was used to calculate the pooled complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 209 studies were screened, and 12 retrospective, single-center studies were included. The pooled complication rate of ECMO cannulations performed by intensivists was 2% per cannula and 5% per patient. In the subgroup of VA ECMO cannulations, the complication rate was 9% per patient, whereas for VV ECMO cannulations, it was 4% per patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ECMO cannulation by intensivists appears to be safe and feasible when supported by adequate training, credentialing processes, and backup support from surgeons in the event of complications such as vascular injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08850666251375418","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T15:01:21Z","timestamp":1757343681000},"page":"502-511","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Extracorporeal Membrane Oxygenation Cannulation by Intensivists: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8806-2852","authenticated-orcid":false,"given":"Ryota","family":"Sato","sequence":"first","affiliation":[{"name":"The Queen's Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natsumi","family":"Hamahata","sequence":"additional","affiliation":[{"name":"Aloha Critical Care Associates, Honolulu, HI, USA"},{"name":"Straub Benioff Medical Center, Honolulu, HI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine at the University of Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Paladino","sequence":"additional","affiliation":[{"name":"The Queen's Medical Center"},{"name":"Aloha Critical Care Associates, Honolulu, HI, USA"},{"name":"Straub Benioff Medical Center, Honolulu, HI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick","family":"Itoman","sequence":"additional","affiliation":[{"name":"The Queen's Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004330"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005282"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2013-203104"},{"issue":"3","key":"e_1_3_3_5_2","first-page":"147","article-title":"Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data","volume":"13","author":"Munn Z","year":"2015","unstructured":"Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. JBI Evidence Implementation. 2015;13(3):147\u2013153.","journal-title":"JBI Evidence Implementation"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.940672"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4885-y"},{"issue":"3","key":"e_1_3_3_8_2","first-page":"217","article-title":"More than one pathway: ECMO training and credentialing","volume":"26","author":"Kouch M","year":"2024","unstructured":"Kouch M, Puri N, Damuth E, Noel C, Bartock J, Green A. More than one pathway: ECMO training and credentialing. Crit Care Resusc. 2024;26(3):217\u2013218.","journal-title":"Crit Care Resusc"},{"issue":"1","key":"e_1_3_3_9_2","first-page":"41","article-title":"An intensivist-led ECMO accreditation pathway and safety data over the first 4 years","volume":"26","author":"Duffin SC","year":"2024","unstructured":"Duffin SC, Askew JH, Southwood TJ, Forrest P, Plunkett B, Totaro RJ. An intensivist-led ECMO accreditation pathway and safety data over the first 4 years. Crit Care Resusc. 2024;26(1):41\u201346.","journal-title":"Crit Care Resusc"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001870"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001867"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1239006"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/aor.13010"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000339"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001288"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000883"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13014"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2013.06.003"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2022.11.047"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2022.01.078"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-019-2541-3"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2022.04.084"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0267659119897784"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-020-00975-3"}],"container-title":["Journal of Intensive Care Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08850666251375418","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08850666251375418","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08850666251375418","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:49:40Z","timestamp":1778946580000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08850666251375418"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,8]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/08850666251375418"],"URL":"https:\/\/doi.org\/10.1177\/08850666251375418","relation":{},"ISSN":["0885-0666","1525-1489"],"issn-type":[{"value":"0885-0666","type":"print"},{"value":"1525-1489","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,8]]}}}