Document Detail

Various problems during long-term percutaneous cardiopulmonary support.
MedLine Citation:
PMID:  9212955     Owner:  NLM     Status:  MEDLINE    
A 54-year-old man with a left ventricular free wall rupture following acute anterior myocardial infarction underwent a repair surgery with percutaneous cardiopulmonary support (PCPS). During surgery and postoperatively, PCPS provided sufficient support flow. The patient was successfully weaned from PCPS on the 15th postoperative day and discharged subsequently. In the management of cardiac rupture patients, PCPS has the merit of preventing rupture progression and the advantage of recovery of pulmonary function. However, there are several problems to solve. The support effectiveness and recovery of the patient's heart should be carefully evaluated. Effective left heart decompression also needs to be established. Heparin-coated circuits still need proper anticoagulation treatment to prevent thrombus formation especially while support flow is low. A circuit construction that allows easier maintenance and safer exchange of oxygenators and pump heads is suggested. Ischemia of the cannulated leg should be prevented by femoral artery perfusion.
T Ihno; T Nakagawa; H Furukawa; K Shimizu; K Egi; T Maemura; T Motomiya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  21     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-09-24     Completed Date:  1997-09-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  766-71     Citation Subset:  IM    
Department of Clinical Engineering, Tokyo Metropolitan Hiroo General Hospital, Japan.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Anticoagulants / therapeutic use
Blood Transfusion, Autologous
Cardiopulmonary Bypass / methods*
Coronary Circulation / physiology
Guanidines / therapeutic use
Heart Failure / diagnosis,  physiopathology,  therapy
Heart Rupture, Post-Infarction / surgery,  therapy*
Heart-Assist Devices*
Hemodynamics / physiology
Injections, Intra-Arterial
Intra-Aortic Balloon Pumping
Ischemia / prevention & control
Leg / blood supply
Lung / physiopathology
Middle Aged
Myocardial Infarction / complications*,  drug therapy,  therapy
Oxygenators, Membrane
Plasminogen Activators / administration & dosage,  pharmacology,  therapeutic use
Tissue Plasminogen Activator / administration & dosage,  pharmacology,  therapeutic use
Treatment Outcome
Reg. No./Substance:
0/Anticoagulants; 0/Guanidines; 81525-10-2/nafamostat; EC 3.4.21.-/Plasminogen Activators; EC Plasminogen Activator

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