Document Detail


Improved survival after cardiac arrest using emergent autopriming percutaneous cardiopulmonary support.
MedLine Citation:
PMID:  16863780     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Emergent percutaneous cardiopulmonary support (PCPS) has the potential to rescue patients in cardiac arrest who might otherwise die. We retrospectively reviewed the results of PCPS using preassembled, heparin-coated, and autopriming devices in patients in cardiac arrest. METHODS: From November 2003 to July 2005, 22 patients in cardiac arrest underwent PCPS using the Capiox emergent bypass system (Terumo, Tokyo, Japan). The mean +/- SD age was 63 +/- 14 (range, 31 to 85) years. In six patients, the underlying disease causing cardiac arrest was not diagnosed before PCPS. The procedure involved 14 to 21 Fr percutaneous femoral arterial cannulae and 17 to 28 Fr percutaneous femoral long venous cannulae. The mean duration of cardiopulmonary resuscitation before PCPS was 48.5 +/- 29.0 (range, 15 to 143) minutes. An intraaortic balloon pump was used concomitantly in six patients. RESULTS: Fourteen patients received additional surgical or interventional procedures during PCPS. Thirteen (59%) patients could be weaned off PCPS after 52.3 +/- 47.8 (range, 4 to 141) hours of support. Twelve complications occurred in 11 patients, including eight related to PCPS: low perfusion flow (two), gastrointestinal bleeding (two), surgical wound bleeding (one), femoral arterial catheter dislodgement (one), hemolysis with acute renal failure (one), and mitral valve thrombus (one). Nine patients (41%) were discharged from hospital without neurologic complications. The incidence of complications differed in comparisons between patients who survived and did not survive. CONCLUSIONS: The use of preassembled, heparin-coated and autoprimed devices enabled us to rescue in-hospital cardiac arrest patients who might have died without this procedure.
Authors:
Kiick Sung; Young Tak Lee; Pyo Won Park; Kay-Hyun Park; Tae-Gook Jun; Ji-Hyuk Yang; Yi-Kyung Ha
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  82     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-25     Completed Date:  2006-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  651-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Kangnam-Ku, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Cardiopulmonary Bypass / instrumentation*
Cardiopulmonary Resuscitation
Emergencies
Extracorporeal Membrane Oxygenation
Female
Heart Arrest / mortality,  therapy*
Heart-Assist Devices
Humans
Intra-Aortic Balloon Pumping
Male
Middle Aged
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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