Document Detail


Resuscitation for cardiogenic shock with extracorporeal membrane oxygenation systems.
MedLine Citation:
PMID:  7948287     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
S J Phillips
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery     Volume:  6     ISSN:  1043-0679     ISO Abbreviation:  Semin. Thorac. Cardiovasc. Surg.     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-11-28     Completed Date:  1994-11-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8917640     Medline TA:  Semin Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  131-5     Citation Subset:  IM    
Affiliation:
Iowa Heart Center, Mercy Hospital Medical Center, Des Moines, IA.
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MeSH Terms
Descriptor/Qualifier:
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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