The Use of Extracorporeal Membrane Oxygenation in Traumatic Brain Injury and Neurosurgical Patients: A Single-Center Analysis and Systematic Review

This study highlights that ECMO can be safely utilized in patients with TBI requiring intensive cardiopulmonary support, including those undergoing neurosurgical procedures for ECMO-related complications. In this high-risk population, maintaining ECMO circuits without systemic anticoagulation or with conservative anticoagulation should be considered. Our findings suggest that TBI should not be an absolute contraindication for ECMO therapy, and neurosurgical interventions can be safely performed in these patients, especially when ICH occurs.