Cardiac Resuscitation with Percutaneous Cardiopulmonary Support in Cardiac Arrest Patients.
10.4326/jjcvs.23.15
- VernacularTitle:心肺停止例に対する蘇生手段としての緊急経皮的心肺補助システムの使用経験
- Author:
Koji Kawahito
;
Hirofumi Ide
;
Takashi Ino
;
Hideo Adachi
;
Akihiro Mizuhara
;
Atsushi Yamaguchi
- Publication Type:Journal Article
- Keywords:
PCPS
- From:Japanese Journal of Cardiovascular Surgery
1994;23(1):15-20
- CountryJapan
- Language:Japanese
-
Abstract:
An emergency percutaneous cardiopulmonary support system (PCPS) was employed 11 arrest victims (5 males, 6 females; mean age 59.3 years) refractory to conventional resuscitation measures. Cardiac operation was subsequently performed in two patients and coronary angioplasty in two. The 7 other patients continued on cardiopulmonary support by PCPS after successful resuscitation. Duration of support was 10.5±9.1 (mean±S. D.) hours, the flow rate was 2.5±0.7l/min, and PCPS was applied 5-70min (mean, 24.9min) following the onset of cardiac arrest. The entire intraluminal surface of PCPS device had been heparin coated, activated coagulation time was maintained about 150 seconds, with or without minimal systemically administered heparin. Seven of 11 patients (63.6%) were successfully weaned from the PCPS. The early survival (<30 days) was 6 patients (54.5%), and late survival was 4 patients (36.4%). We conclude that PCPS can improve survival in patient unresponsive to conventional resuscitation when instituted soon after cardiac arrest.
