Document Detail


Successful emergency percutaneous cardiopulmonary support during coronary intervention in an 80-year old patient.
MedLine Citation:
PMID:  11072672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In an 80-year old patient with acute coronary syndrome emergency institution of stand-by percutaneous cardiopulmonary support (PCPS; Bio-Medicus; Medtronic Inc, Minneapolis MN) for hemodynamic collapse in the cardiac catheterization laboratory resulted in successful hemodynamic stabilization and enabled safe performance of a complex coronary intervention. Weaning from PCPS was effectuated after 4 hours total extracorporal circulation time. Despite development of a systemic inflammatory response syndrome and prolonged weaning from mechanical ventilation the patient could be discharged from the intensive care unit after 14 days and eventually from hospital another 28 days later with favorable outcome. Although an increased complication rate with prolonged rehabilitation has to be taken into account percutaneous cardiopulmonary support may constitute a live-saving option even in selected elderly patients.
Authors:
M Koreny; G Heinz; A Geppert; T Neunteufl; D Glogar; K Kiss; P Wexberg; P Siostrzonek
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Wiener klinische Wochenschrift     Volume:  112     ISSN:  0043-5325     ISO Abbreviation:  Wien. Klin. Wochenschr.     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-12-11     Completed Date:  2000-12-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  21620870R     Medline TA:  Wien Klin Wochenschr     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  821-4     Citation Subset:  IM    
Affiliation:
Department of Cardiology, University of Vienna, Austria.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Atherectomy, Coronary
Coronary Angiography
Coronary Disease / physiopathology,  radiography,  therapy*
Emergencies*
Female
Heart Catheterization*
Heart Failure / physiopathology,  therapy*
Hemodynamics / physiology
Humans
Intra-Aortic Balloon Pumping*
Stents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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