Clinical experiences of percutaneous cardiopulmonary support: its effectiveness and limit

Artificial Organs
Y OrimeY Sezai

Abstract

In recent years, several types of centrifugal pumps have been widely used as the main pumps for cardiopulmonary bypass (CPB) and postcardiotomy cardiac support. From April 1990 to March 1997, a percutaneous cardiopulmonary support (PCPS) system was used in 20 patients with an average age of 58 years (13 males and 7 females). They comprised 11 ischemic, 6 valvular, 2 aortic, and 1 congenital heart disease patients. Our PCPS system consists of a centrifugal pump (BioMedicus BP-80), an oxygenator, and a reservoir. The entire blood contacting surface, including that of the thin wall cannulas, is coated by heparin bonded materials. As a result of this new technology, this system can be used for the long term without systemic heparinization. No major critical thrombi were revealed inside the pumps or circuits. Of the 20 patients, 7 (35%) (Group 1) could be weaned from PCPS, and the remaining 13 (Group 2) could not. In Group 1 although 2 patients suffered from renal failure and pneumonia, respectively, both were discharged from our hospital. The long-term survival rate was 35%. In Group 2 cerebral vascular damage was recognized in 3 patients, renal failure in 4, multiple system organ failure in 4, bleeding in 2, arrhythmia in 1, and l...Continue Reading

Citations

Jan 17, 2004·The Annals of Thoracic Surgery·Toshihiro OhataHironori Izutani
Jan 22, 2003·Journal of the American College of Cardiology·Yih-Sharng ChenShoei-Shan Wang
Mar 11, 2003·Critical Care Medicine·Birgit SchwarzKarl H Lindner
Nov 26, 2003·Circulation Journal : Official Journal of the Japanese Circulation Society·Atsushi IzawaKeishi Kubo
Dec 1, 2009·Journal of cardiology·Tetsuhisa HattoriShin-Ichi Momomura
Feb 10, 2000·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·T TakanoY Nosé
Jul 26, 2002·Perfusion·Mark Kurusz, Joseph B Zwischenberger

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