Document Detail

Successful high-risk percutaneous coronary intervention with the use of minimal extracorporeal circulation system.
MedLine Citation:
PMID:  22511509     Owner:  NLM     Status:  Publisher    
Minimal extracorporeal circulation (MECC) represents a contemporary system which integrates several advances in cardiopulmonary bypass technology in a single circuit. We challenged the efficacy of the MECC system to support the circulation in elective high-risk percutaneous coronary intervention (PCI). A 78-year-old patient with complex coronary disease who would have been otherwise rejected for interventional therapy underwent PCI with rotablation on MECC support. The MECC system provided hemodynamic support at a flow of 1.8 L min(-1) m(-2) while perfusion pressure was kept at a minimum of 70 mm Hg. This allowed for successful angioplasty of the left main stem and a chronically occluded right coronary artery, which otherwise produced significant hemodynamic compromise. This case illustrates that mechanical circulatory support with the MECC system could provide a stable environment and a "safety net" for carrying out complex percutaneous coronary intervention in high-risk patients. © 2012 Wiley Periodicals, Inc.
Kyriakos Anastasiadis; Stavros Hadjimiltiades; Polychronis Antonitsis
Related Documents :
22858369 - Effect of transfer delay on left ventricular function after primary pci for st elevatio...
22577439 - The association between epicardial fat thickness in echocardiography and coronary reste...
20613629 - How should we manage heart failure developing in patients already treated with angioten...
15721509 - Death and hospitalization in heart failure patients receiving carvedilol vs. metoprolol...
21866299 - Neutrophils and clinical outcomes in patients with acute coronary syndromes and/or card...
10225379 - Beneficial effects of amiodarone in heart failure: interaction with beta-adrenoceptors ...
20152559 - A randomized comparison of the endeavor zotarolimus-eluting stent versus the taxus pacl...
2493119 - Effect of hyperosmotic mannitol on magnetic resonance relaxation parameters in reperfus...
9462409 - Chronotherapy for coronary heart disease.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-17
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Department of Cardiothoracic Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Socioeconomic burden of total joint arthroplasty for symptomatic hip and knee osteoarthritis in the ...
Next Document:  Reproducibility and factors influencing the assessment of the SYNTAX score in the left main xience s...