| Various problems during long-term percutaneous cardiopulmonary support. | |
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MedLine Citation:
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PMID: 9212955 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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T Ihno; T Nakagawa; H Furukawa; K Shimizu; K Egi; T Maemura; T Motomiya |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Artificial organs Volume: 21 ISSN: 0160-564X ISO Abbreviation: Artif Organs Publication Date: 1997 Jul |
Date Detail:
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Created Date: 1997-09-24 Completed Date: 1997-09-24 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7802778 Medline TA: Artif Organs Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 766-71 Citation Subset: IM |
Affiliation:
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Department of Clinical Engineering, Tokyo Metropolitan Hiroo General Hospital, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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 Humans Injections, Intra-Arterial Intra-Aortic Balloon Pumping Ischemia / prevention & control Leg / blood supply Lung / physiopathology Male 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 |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 0/Guanidines; 81525-10-2/nafamostat; EC 3.4.21.-/Plasminogen Activators; EC 3.4.21.68/Tissue Plasminogen Activator |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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