| Resuscitation for cardiogenic shock with extracorporeal membrane oxygenation systems. | |
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MedLine Citation:
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PMID: 7948287 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between 1975 and 1993, 73 patients in cardiogenic shock were supported by a variety of venoarterial pumping (VAP) systems. There were 64 adults and 9 children. Shock was caused by myocardial infarction (MI) (26), failed percutaneous transluminal coronary angioplasty (PTCA) (25), post open heart surgery (9), viral cardiomyopathy (5), idiopathic cardiomyopathy (2), pulmonary embolism (2), hypothermia (2), and arrhythmia (2). Forty-three patients were treated with percutaneous bypass and 30 by surgical bypass. Resuscitated patients were usually bridged to further therapies such as coronary artery bypass graft (CABG), valve repair or replacement or cardiac transplantation. Overall, 35 patients (48%) survived VAP and additional therapies. We conclude that early application of complete cardiopulmonary support to patients in shock allows resuscitation and corrective therapy with an acceptable salvage rate. |
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Authors:
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S J Phillips |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Seminars in thoracic and cardiovascular surgery Volume: 6 ISSN: 1043-0679 ISO Abbreviation: Semin. Thorac. Cardiovasc. Surg. Publication Date: 1994 Jul |
Date Detail:
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Created Date: 1994-11-28 Completed Date: 1994-11-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8917640 Medline TA: Semin Thorac Cardiovasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 131-5 Citation Subset: IM |
Affiliation:
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Iowa Heart Center, Mercy Hospital Medical Center, Des Moines, IA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Angioplasty, Transluminal, Percutaneous Coronary / adverse effects Cardiac Output Cardiac Surgical Procedures Cardiomyopathies / complications Cardiopulmonary Bypass Child Child, Preschool Extracorporeal Membrane Oxygenation* Female Heart Arrest / therapy Heart Transplantation Humans Infant Intra-Aortic Balloon Pumping Myocardial Infarction / complications Postoperative Complications Pulmonary Embolism / complications Resuscitation* Shock, Cardiogenic / etiology, mortality, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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