A new hybrid technique for ECPR implementation by non-surgeons

Lionel Lamhaut, Alice Hutin, Christelle Dagron, Frederic Baud, Kim An, Pierre Carli



Extracorporeal cardiopulmonary resuscitation (ECPR) insertion techniques vary around the world. Our ECPR team has developed a hybrid technique for non-surgeons to implement ECPR for refractory cardiac arrest.


We conducted a retrospective monocentric study to evaluate this new ECPR implementation technique. Global ECPR implementation time, mean canula insertion time, and mean connection time were evaluated as well as failure rate.


During the 4-year study period, 187 patients were implemented with ECPR.

The mean age was 51 +/- 13 years. Fourty patients survived with good neurological outcome at the ICU discharge (22,5%).

Global ECPR implementation time was 21 min +/- 9. Mean canula insertion time was 15,1 min +/- 7, and  mean connection time was 6,1 min +/- 4,7. The global failure rate was 7,6 %.


Our ECPR implementation technique is efficient and safe for non-surgeons. It could contribute to increase the access to ECPR in centers without on-site cardiothoracic surgeons.

Palabras Clave

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