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Objectives: Serious acute vascular complications may occur during ECMO support. In our study, acute vascular complications that developed in patients followed up with ECMO support were evaluated. Methods: Patients older than 18 years of age who received ECMO support were included in this study. Acute vascular complications, risk factors, and results were analyzed by evaluating the data retrospectively. Results: Nineteen patients were included in the study. It was observed that V-A ECMO support was performed in 17 patients and V-V ECMO support was performed in two patients. Acute vascular complications developed in 7 patients (36.8%). A significant correlation was found between the ECMO cannulation type and the development of vascular complications (p=0.032). It was determined that the using of distal perfusion cannula or femoral artery graft to prevent the development of vascular complications did not reduce the development of vascular complications (including digital ischemia). Conclusion: We think that peripheral ECMO cannulation is associated with vascular complications and prospective studies are needed to prevent these complications. [ABSTRACT FROM AUTHOR]

Patients with severe acute respiratory distress syndrome (ARDS) is an acute diffuse, inflammatory lung injury, leading to increased pulmonary vascular permeability with hypoxemia and bilateral radiographic opacities, associated with decreased lung compliance. Extracorporeal membrane oxygenation (ECMO) has been used to support primary or secondary diseases causing respiratory or cardiac failures in newborns, children and adults. Patients with severe ARDS are candidates for ECMO therapy. ECMO is a support modality, not a treatment; it is only beneficial in patients whose primary disease is reversible. ECMO complications-which can lead to mortality, morbidity, long-term disability and reduced quality of life-include surgical and organ bleeding, renal and multiorgan failure and central nervous system problems. The aim of this article was to provide a general overview of ECMO use and outcomes patients with severe acute respiratory distress syndrom. [ABSTRACT FROM AUTHOR]