Extra-corporeal membrane oxygenation supporting primary percutaneous intervention for acute myocardial infarction with cardiac arrest
10.3760/cma.j.issn.1673-4181.2013.04.009
- VernacularTitle:急性心肌梗死并发心脏骤停在体外膜肺氧合辅助下的介入治疗
- Author:
Qin ZHOU
;
Chengxiu ZHAO
;
Xiaomin HU
;
Dawei DUAN
- Publication Type:Journal Article
- Keywords:
Extracorporeal membrane oxygenation;
Acute myocardial infarction;
Cardiac arrest;
Percutaneous coronary intervention
- From:
International Journal of Biomedical Engineering
2013;36(4):227-230
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize extracorporeal membrane oxygenation (ECMO) in percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) with cardiac arrest,and to evaluate the clinical efficacy comparing with literature review.Methods 5 patients of AMI with cardiac arrest who proved invalid to conventional cardio-pulmonaryresuscitation (CPR),were successfully resuscitated with ECMO support,and underwent emergency PCI with stable hemodynamic status.Results In support of ECMO,4 patients were successfully resuscitated with stable hemodynamic status,and underwent primary PCI.The duration of ECMO support ranged from 42 to 220 h (average 126.6 h).3 patients discharged with full recovery,one patient didn't wean from ECMO successfully,and one died of respiratory failure.Conclusion Although mortality of AMI with cardiac arrest is high,early ECMO-assisted cardiopulmonary resuscitation and secondary PCI treatment increase the possibility of cardiac recovery,and provide conditions for emergency revascularization treatment.This reduces mortality in critical patients with AMI,and is an effective short term life support method.
