NIH-funded research R21 grant

Understanding Brain Injury During ECMO Treatment

Official title: DELTA ECMO ABI study (Assessing Acute Brain Injury after Rapid Reduction of PaCO2 upon ECMO Cannulation using Portable MRI and Biomarkers)

Funded at Johns Hopkins University · NIH-11163474 · Data updated 2026-11-12

This research looks at why some people develop brain injury when they receive life-saving ECMO support for severe heart and lung failure.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University
NIH-funded
Lab location1 site (Baltimore, United States)
Project startAugust 7, 2024
Project endJune 30, 2026
Funding year2025
Award (this year)$204,688
NIH project number5R21NS135045-02
Project IDNIH-11163474 on NIH RePORTER

Who could benefit from this research

Could help

This research is relevant for patients experiencing severe heart and lung failure who require ECMO treatment.

Less likely to help

Patients who do not require ECMO for severe heart and lung failure would not directly benefit from this specific research.

What this research studies

When patients need ECMO for severe heart and lung problems, they often have high levels of carbon dioxide in their blood, which is quickly lowered once ECMO begins. We believe this rapid change in carbon dioxide levels might cause blood vessels in the brain to narrow, reducing oxygen delivery and leading to brain injury. To understand this better, we will use portable MRI scans and look at specific markers in the blood during the first 24 hours of ECMO treatment. Our goal is to find out how these early changes affect patient outcomes.

Why it matters

Potential benefit: If successful, this work could lead to new ways to prevent brain injury in patients receiving ECMO, improving their recovery and long-term health.

How similar studies have gone: While ECMO is a known life-saving therapy, there is currently a limited understanding of why acute brain injury occurs during the process, making this a novel area of focus.

Where this research is happening

  • Johns Hopkins University
    Baltimore, United States
    Active

Researchers

  • Principal investigator: Cho, Sung-Min — Johns Hopkins University
  • Study coordinator: Cho, Sung-Min

Related research

Other NIH-funded projects on the same topics.

  • Sleep patterns predicting recovery after acute brain injury

    Researchers will look at brain sleep signals to see if certain sleep patterns can forecast when patients who are unconscious after a brain injury may start to wake up and recover.

    NIH research Columbia University Health Sciences · New York, United States · NIH-11458485

  • Brain cell ion balance and swelling after sudden brain injury

    They are looking at how changes in ion levels and cell size after a sudden brain injury cause swelling or shrinkage for people with acquired brain injuries, including newborns.

    NIH research Massachusetts General Hospital · Boston, United States · NIH-11324023

  • EEG tools to predict recovery after sudden brain injury

    This project will use computer-based EEG tools to help doctors predict recovery and seizure risk for people hospitalized with sudden (acute) brain injuries.

    NIH research Beth Israel Deaconess Medical Center · Boston, United States · NIH-11243554

  • Using EEG to guide seizure medicines after stroke or head injury

    This project looks at whether using bedside EEG brain monitoring to guide anti-seizure medicines for people with recent stroke or traumatic brain injury can prevent harmful brain activity while cutting down medicine side effects.

    NIH research Massachusetts General Hospital · Boston, United States · NIH-11235864

  • Helping patients with acute brain injuries and their caregivers build resilience together

    This study is for patients who have had a brain injury, like a stroke, and their caregivers, and it offers a friendly program called 'Recovering Together' to help them cope with stress and support each other while they heal in the hospital.

    NIH research Massachusetts General Hospital · Boston, United States · NIH-11090444

  • Understanding outcomes and care needs after severe brain injuries

    This study is looking at how people who have had serious brain injuries, like strokes or heart attacks, are doing in their final weeks of life and how we can make their care better, while also understanding how this affects their family members who are helping them.

    NIH research University of Washington · Seattle, United States · NIH-11085958

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.