{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T00:01:08Z","timestamp":1782000068240,"version":"3.54.5"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:00:00Z","timestamp":1688947200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Peripheral femoro-femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO) is viable for fast hemodynamic assistance during cardiogenic shock. Ultrasound-guided closure with a large-bore device (MANTA\n                      <jats:sup>\u00ae<\/jats:sup>\n                      ) is a feasible option potentially replacing surgical arteriotomy closure in peripheral VA-ECMO decannulation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study included patients weaning from percutaneously inserted femoro-femoral VA-ECMO at the Helsinki University Hospital, Finland in 2012\u20132020. The primary endpoints were access-site complications, a composite of hematomas\/seromas\/surgical site infections (SSIs), and the safety endpoint of vascular complications (VCs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 100 consecutive percutaneously implanted and weaned VA-ECMO patients were stratified into two groups by decannulation strategy: percutaneous ultrasound-guided MANTA device ( n\u2009=\u200921, 21.0%) or surgical approach ( n\u2009=\u200979, 79.0%). The mean age of the cohort was 51\u2009\u00b1\u200913\u2009years and females represented 25.0%. The technical success rate of the percutaneous ultrasound-guided MANTA technique was 95.2%. In multivariate analysis, surgical closure was associated with a higher incidence of combined access site hematomas\/seromas\/SSIs compared to percutaneous ultrasound-guided deployment of MANTA device (44.3% versus 9.5%, odds ratio (OR): 7.162, 95% confidence interval (CI): 1.544\u201333.222; p\u2009=\u20090.012). Similarly, access-site complications necessitating interventions were more frequent in the surgical closure group compared to US-MANTA (ultrasound-guided MANTA) group (26.6% versus 0.0%, p\u2009=\u20090.005). VCs were infrequent in both groups without any significant intergroup difference ( p\u2009&gt;\u20090.99).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Percutaneous ultrasound-guided MANTA closure of the femoral artery after VA-ECMO decannulation was associated with high technical success rate and low incidence of VCs. Compared to surgical closure, access-site complications were significantly less frequent, along with access-site complications necessitating interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969231181232","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T07:02:03Z","timestamp":1688972523000},"page":"256-264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Ultrasound-guided closure of the femoral artery during venoarterial decannulation using a large-bore closure device"],"prefix":"10.1177","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0995-1000","authenticated-orcid":false,"given":"Tasnia","family":"Rahman","sequence":"first","affiliation":[{"name":"Heart and Lung CenterUniversity of Helsinki and Helsinki University Hospital, Haartmaninkatu 4, Helsinki 00290, 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Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommi","family":"J\u00e4rvinen","sequence":"additional","affiliation":[{"name":"Heart and Lung Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatu","family":"Juvonen","sequence":"additional","affiliation":[{"name":"Heart and Lung Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"},{"name":"Research Unit of Surgery, Anesthesia and Critical Care, University of Oulu, Oulu, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Dahlbacka","sequence":"additional","affiliation":[{"name":"Heart and Lung Center, University of Helsinki and Helsinki University Hospital, Helsinki, 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