Emergency use of portable cardiopulmonary bypass

Overlie, Paul

doi:10.1002/ccd.1810200107

Cited by 27 publications

(13 citation statements)

References 7 publications

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“…[167][168][169][170][171][172][173] The use of ECPR is also feasible and associated with good outcomes when used as a bridge to coronary artery bypass grafting. 167,[173][174][175] The combination of ECPR and IABP has been associated with increased survival when compared with IABP alone for patients who present with cardiogenic shock, including those who have a cardiac arrest while undergoing PCI.…”

Section: Circulationmentioning

confidence: 99%

Part 10: Special Circumstances of Resuscitation

Lavonas¹,

Drennan²,

Gabrielli³

et al. 2015

Circulation

243

123

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Section: Circulationmentioning

confidence: 99%

Part 10: Special Circumstances of Resuscitation

Lavonas¹,

Drennan²,

Gabrielli³

et al. 2015

Circulation

243

123

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“…Since its initial use in cardiac surgery, percutaneous CPS has been used in a variety of clinical settings, including high-risk angioplasty, percutaneous aortic valvuloplasty, cardiogenic shock, and in-hospital cardiac arrest [13][14][15]. Cardiopulmonary support uses a portable, vortex pump-membrane oxygenator system that can achieve systemic flow rates of 4-6 liters per min using 18-20 F cannulas.…”

Section: Discussionmentioning

confidence: 99%

Utility of standby cardiopulmonary support for elective coronary interventions

Guarneri

Califano

Schatz

et al. 1999

Cathet. Cardiovasc. Intervent.

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At our institution, elective coronary interventions are performed without formal surgical backup. Instead, a policy of “standby cardiopulmonary support” (CPS), and “next‐available operating room” is used. Standby CPS requires a perfusionist dedicated to the catheterization laboratory with immediate access to CPS apparatus. Between January 1989 and June 1994 we performed 2,850 elective coronary interventions. Eleven patients (0.4%) required emergency CPS. None of these patients fell into a high‐risk category for PTCA (i.e., sole circulation, ejection fraction <20%, unprotected left main). Eight of these (73%) had completion of their coronary intervention while on CPS in the catheterization laboratory. Three patients were sustained on CPS until an operating room became available. All patients required blood transfusions and sustained non–Q‐wave myocardial infarctions. Two late in‐hospital deaths occurred. Nine patients (82%) were successfully discharged. Standby CPS provides hemodynamic support for patients who sustain a potentially catastrophic event during coronary intervention. Our data suggest that this modality should not be limited to high‐risk patients. Cathet. Cardiovasc. Intervent. 46:32–35, 1999. © 1999 Wiley‐Liss, Inc.

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“…Over the past 2 decades, emergent initiation of cardiopulmonary bypass for circulatory support has resulted in saving patients with failing circulation. Catastrophic situations of impending death and cardiac arrest have been aborted using cardiopulmonary bypass for resuscitation (6). It has been through these endeavors that percutaneous and portable systems for cardiopulmonary bypass have evolved (7,8).…”

Section: Discussionmentioning

confidence: 99%

Study of Regional Cerebral Oxygen Saturation During Percutaneous Cardiopulmonary Support

et al. 1997

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The purpose of this study was to evaluate the change of regional cerebral oxygen saturation (rSO2) during percutaneous cardiopulmonary support (PCPS) in patients with cardiogenic shock. Fifteen patients with cardiogenic shock were evaluated during PCPS by continuous monitoring of rSO2, systemic venous oxygen saturation (Svo2), and hemodynamics. The brain damage of these patients was also evaluated during and after PCPS. There were 10 males and 5 females. Their ages ranged from 57 to 79 years old (average: 60.0 +/- 14). Two patients were unconscious before PCPS, and 11 received intraaortic balloon pumping (IABP) before PCPS. The change of rSO2 was significantly correlated with the change of Svo2. The average of rSO2 was 64 +/- 3% at the stable hemodynamic condition. The rSO2 with pulsatile PCPS was higher than that with nonpulsatile PCPS. There was no correlation between brain damage and rSO2. The patients with low rSO2 (< 50%) that resulted in poor LV function could not be weaned from PCPS. In conclusion, the continuous monitoring of rSO2 during PCPS could be a useful tool.

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Emergency use of portable cardiopulmonary bypass

Cited by 27 publications

References 7 publications

Part 10: Special Circumstances of Resuscitation

Part 10: Special Circumstances of Resuscitation

Utility of standby cardiopulmonary support for elective coronary interventions

Study of Regional Cerebral Oxygen Saturation During Percutaneous Cardiopulmonary Support

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