D . Rusnak et al .: J Extra Corpor Technol 2025 , 57 , 42 – 49 49
Conclusions
This case highlights the critical role of oxygenator durability in sustaining prolonged ECMO support in conflict zones where resources are scarce . The 259-day ECMO course required frequent oxygenator replacements , driven largely by the limitations of polypropylene-based models like Terumo Fx15 , which exhibited plasma leakage . The relative durability of the EUROSETS oxygenators , particularly one that lasted 88 days , proved essential in this setting , though even these models faced periodic issues with clotting and transmembrane pressure . In conflict-impacted environments , where the supply of specialized medical devices is unpredictable , durable oxygenators are vital for minimizing procedural risks and resource strain . This case underscores the need for resilient healthcare infrastructure and reliable access to long-term ECMO-compatible devices to support critically ill patients under challenging conditions .
Funding This research did not receive any specific funding .
Conflicts of interest Ignazio Condello is Consultant for Eurosets .
Data availability statement
The data presented in this study are available on request from the Corresponding author .
Author contribution statement Each author contributed equally to this paper .
Ethics approval
This study was conducted in accordance with the Declaration of Helsinki and was approved by the Internal Ethical Institutional Board of The Scientific and Practical Medical Center of Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine , Rbїd , dуk . В ' z [ есkаdа Xорyоdоkа 28 / 1 .
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Cite this article as : Rusnak D , Condello I , Dohtiar V , Varbanets S , Alieksieieva K , Luhovkin S , Palokha V , Zhoha V , Bukhnei N , Krashevska L , Kutsenko O , Kupina N & Vnukov O . Prolonged ECMO support in a pediatric patient with complex cardiac conditions during wartime in Kyiv , Ukraine . J Extra Corpor Technol 2025 , 57 , 42 – 49 . https :// doi . org / 10.1051 / ject / 2025004 .