| Prolonged Veno-Arterial Bypass with membrane oxygenator for profound cardiogenic shock following cardiac surgery experience in 13 cases. | |
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MedLine Citation:
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PMID: 6708298 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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As a mechanical cardiac support, prolonged (over 5 hrs) Veno Arterial Bypass (VAB) with membrane oxygenator was indicated to 13 patients who was profound cardiogenic shock following open heart surgery, among 1700 cases of cardiac surgery (0.8%). In 12 of 13 cases, cardiopulmonary bypass could not be weaned after intracardiac repair, despite maximal pharmacological management with or without IABP support. Another one case was intractable ventricular fibrillation in ICU, two days after operation. Six of 13 patients who were supported by prolonged VAB, survived and discharged from the hospital. In survivors, mean of VAB flow was 900 +/- 265 ml/min/m2, in died 7 cases, mean of VAB flow was 1450 +/- 550 ml/min/m2 (p less than 0.05). The longest duration of VAB in survivors was less than 28 hrs. Improvements of anticoagulation and VAB circuits make it safer to manage prolonged VAB. For profound cardiogenic shock, prolonged VAB is an easy and safe mechanical cardiac support not only in surgical cases but in internal medical cases. |
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Authors:
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T Ino; Y Wanibuchi; S Furuta |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Japanese circulation journal Volume: 48 ISSN: 0047-1828 ISO Abbreviation: Jpn. Circ. J. Publication Date: 1984 Mar |
Date Detail:
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Created Date: 1984-05-16 Completed Date: 1984-05-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7806868 Medline TA: Jpn Circ J Country: JAPAN |
Other Details:
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Languages: eng Pagination: 295-301 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Anticoagulants / administration & dosage Blood Pressure Cardiac Output Cardiac Surgical Procedures* Cardiopulmonary Bypass Child Extracorporeal Circulation / methods*, mortality Female Heart Catheterization Heart Diseases / physiopathology, surgery Humans Male Middle Aged Oxygenators, Membrane* Shock, Cardiogenic / physiopathology, surgery* |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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