| In vivo evaluation of tissue microflow under combined therapy with extracorporeal life support and intra-aortic balloon counterpulsation. | |
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MedLine Citation:
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PMID: 19775051 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Treatment with percutaneous extracorporeal mechanical assist devices provides the ultimate therapeutic option to improve the macrocirculation in patients suffering from refractory cardiac arrest, severe cardiogenic shock or during high-risk interventions. However, the flow in the smallest vessels in these critical periods is poorly understood but prognostically of high importance. Using sidestream darkfield intravitalmicroscopy, we visualised the sublingual microflow in a patient suffering from severe cardiogenic shock supported by extracorporeal membrane oxygenation and intra-aortic balloon pump. Our results show that intra-aortic balloon counterpulsation applied in addition to extracorporeal membrane oxygenation further improves the microflow. This in vivo finding supports pilot studies favouring the application of devices supporting cardiac output (extracorporeal membrane oxygenation) together with devices aimed at pulsatility (intra-aortic balloon pump). |
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Authors:
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C Jung; A Lauten; C Roediger; M Fritzenwanger; J Schumm; H R Figulla; M Ferrari |
Publication Detail:
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Type: Case Reports; Evaluation Studies; Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 37 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-09-24 Completed Date: 2010-01-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
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Languages: eng Pagination: 833-5 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Department of Internal Medicine I, Friedrich-Schiller-University, Jena, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Equipment Design Extracorporeal Membrane Oxygenation / methods* Fatal Outcome Female Humans Intra-Aortic Balloon Pumping / methods* Microcirculation* Mouth Floor / blood supply Shock, Cardiogenic / therapy* |
| Comments/Corrections | |
Comment In:
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Anaesth Intensive Care. 2009 Sep;37(5):700-2
[PMID:
19775031
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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