Highlight
– Transition from restrictive cardiopulmonary bypass (CPB) to criteria-based extracorporeal membrane oxygenation (ECMO-BC) was associated with a lower incidence of early major neurologic complications (EMNC), notably ischemic strokes, post-lung transplantation.
– ECMO-BC increased the use of intraoperative mechanical circulatory support but was accompanied by greater blood loss and impaired early graft function.
– The findings generate important hypotheses regarding the balance between cerebral protection and surgical risks, emphasizing the need for prospective studies to optimize ECMO use criteria in lung transplantation.
Study Background
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For clinical reference; use professional judgment.
