Mar 11, 2003

Experience with percutaneous venoarterial cardiopulmonary bypass for emergency circulatory support

Critical Care Medicine
Birgit SchwarzKarl H Lindner

Abstract

Mechanical circulatory support can maintain vital organ perfusion in patients with cardiac failure unresponsive to standard pharmacologic treatment. The purpose of the current study was to report complication and survival rates in patients supported with emergency percutaneous venoarterial cardiopulmonary bypass because of prolonged cardiogenic shock or cardiopulmonary arrest. Retrospective clinical study. A total of 46 patients supported with venoarterial cardiopulmonary bypass, 25 because of cardiogenic shock unresponsive to pharmacologic therapy and 21 because of cardiopulmonary arrest unresponsive to standard advanced cardiac life support. In 41 of the 46 patients (89%), stable extracorporeal circulation was established; in five patients (11%), femoral cannulation was accomplished only after a surgical cutdown. A total of 28 patients were weaned from cardiopulmonary bypass (19 of 25 patients with cardiogenic shock vs. 9 of 21 patients with cardiopulmonary arrest, p =.03), and 13 patients had long-term survival (10 of 25 patients with cardiogenic shock vs. 3 of 21 patients with cardiopulmonary arrest, p =.1). Complications directly related to the use of cardiopulmonary bypass were found in 18 patients (39%), major complicati...Continue Reading

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Mentioned in this Paper

Morbidity Aspects
Circulatory System
Survival Analysis
Selection of Subjects
Thromboembolism
Monitoring, Physiologic
Cardiopulmonary Bypass
Complication
Blood Circulation
Cardiopulmonary

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