| Percutaneous cardiopulmonary support for high-risk angioplasty. | |
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MedLine Citation:
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PMID: 9496023 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Treatment of patients with coronary artery disease with severe left ventricular dysfunction (EF less than 25%) presents a special challenge to the health care team. The ability to revascularize coronary artery lesions using percutaneous transluminal coronary angioplasty is limited because of the risk of acute vessel closure, which can result in hemodynamic collapse, myocardial infarction, and the need for emergent coronary bypass surgery. These patients may not survive long enough to undergo emergency open-heart surgery if acute vessel closure occurs. Percutaneous cardiopulmonary support (PCPS), initiated in the catheterization laboratory before coronary revascularization, can provide the hemodynamic support needed to allow the patient to tolerate the high-risk procedure. This article describes the PCPS procedure at Washington Adventist Hospital, Takoma Park, MD, and includes the clinical applications, risks and benefits, and implications for the critical care nurse. |
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Authors:
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A L Dukovcic; A Daleiden-Burns; F A Shawl |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Critical care nursing quarterly Volume: 20 ISSN: 0887-9303 ISO Abbreviation: Crit Care Nurs Q Publication Date: 1998 Feb |
Date Detail:
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Created Date: 1998-03-12 Completed Date: 1998-03-12 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8704517 Medline TA: Crit Care Nurs Q Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 16-28 Citation Subset: N |
Affiliation:
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Washington Adventist Hospital, Takoma Park, Maryland, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty* Cardiopulmonary Bypass* Coronary Disease / complications, therapy Critical Care Humans Risk Factors Specialties, Nursing Ventricular Dysfunction, Left / complications |
| Comments/Corrections | |
Erratum In:
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Crit Care Nurs Q 1998 May;21(1):vi |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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