| Emergency percutaneous cardiopulmonary bypass support for acute myocardial infarction. | |
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MedLine Citation:
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PMID: 9718999 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We assessed the efficacy of emergency percutaneous cardiopulmonary bypass support (PCPS) in the treatment of patients with acute myocardial infarction complicated by cardiogenic shock. Emergency PCPS was instituted in 21 consecutive patients beginning in 1991. After the stabilization of the hemodynamics, coronary reperfusion was performed by means of coronary artery bypass grafting or percutaneous transluminal coronary angioplasty. Of the seven patients with acute myocardial infarction involving either the left main or two-vessel territories, five survived more than 1 month, but only one patient remained alive and well after 20 months. The main cause of death for this group was low output syndrome. Four of 12 patients with acute left main trunkal occlusion in the catheter laboratory survived and showed a preserved cardiac function (mean followup 28.5 months). The main cause of death for this group was brain damage. Two patients with single-vessel territory acute myocardial infarction underwent PCPS to treat refractory ventricular fibrillation. Both patients were still alive and well at a 12-month followup. Percutaneous cardiopulmonary bypass support successfully stabilized the hemodynamics, allowing time to perform revascularization for all three groups of patients with life-threatening acute myocardial infarction. Recanalization was nevertheless unable to salvage the damaged myocardium in cases of prolonged ischemic time. |
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Authors:
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H Obo; S Kozawa; T Asada; N Mukohara; T Higami; K Gan; K Iwahashi; H Nohara; K Ogawa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgery today Volume: 28 ISSN: 0941-1291 ISO Abbreviation: Surg. Today Publication Date: 1998 |
Date Detail:
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Created Date: 1998-10-22 Completed Date: 1998-10-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9204360 Medline TA: Surg Today Country: JAPAN |
Other Details:
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Languages: eng Pagination: 797-801 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular Surgery, Brain and Heart Center at Himeji, Hyougo, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiopulmonary Bypass / methods* Emergency Treatment Female Hemodynamics Humans Male Middle Aged Myocardial Infarction / physiopathology, surgery* Survival Analysis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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