Publication Name	World Journal of Clinical Cases
Manuscript ID	91279
Country	China

Category	Critical Care Medicine
Manuscript Type	Case Report
Article Title	Cerebral pseudoinfarction due to venoarterial extracorporeal membrane oxygenation: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Mi Xu, Jue-Yue Yan, Jia-Jia Jin and Tong Li
Funding Agency and Grant Number
Corresponding Author	Tong Li, PhD, Chief Doctor, Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qingchun Road, Hangzhou 310000, Zhejiang Province, China. drli@zju.edu.cn
Key Words	Extracorporeal membrane oxygenation; Computed tomography perfusion; Computed tomography angiography; Cerebral perfusion; Contrast medium artifacts; Case report
Core Tip	In venoarterial extracorporeal membrane oxygenation (VA-ECMO) patients, neurological complications are common and require sedation and tracheal intubation, limiting neurological assessment and necessitating reliance on advanced neuroimaging techniques, such as computed tomography angiography (CTA) and computed tomography perfusion (CTP). We report a rare case of VA-ECMO-induced abnormal flow patterns causing unique CTA and CTP artifacts mimicking cerebral infarction. Combined with the analysis of PubMed index cases, we found that peripheral VA-ECMO CTA and CTP may generate rare artifacts, which may mislead clinicians in diagnosing acute stroke, posing serious consequences for patients. Early detection is vital for prognosis, and noninvasive monitoring methods (transcranial Doppler, near-infrared spectroscopy, and continuous electroencephalography) can aid in identification.
Citation	Xu M, Yan J, Jin JJ, Li T. Cerebral pseudoinfarction due to venoarterial extracorporeal membrane oxygenation: A case report. World J Clin Cases 2024; In press

Received	2024-02-04 09:06
Peer-Review Started	2024-02-04 09:06
To Make the First Decision
Return for Revision	2024-03-06 21:22
Revised	2024-03-16 06:01
Second Decision	2024-04-22 02:55
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2024-04-22 08:09
Articles in Press	2024-04-22 08:09
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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