Effective Management with IMPELLA CP® and Hypothermia Therapy for a Case of Severe Ischemic Coronary Disease after Cardiopulmonary Arrest
- VernacularTitle:心肺停止蘇生後の重症虚血性心疾患に IMPELLA CP®，低体温療法が有効であった1例
- Author:
Atsunobu ORYOJI
1
;
Takanori KONO
1
;
Kazuyoshi TAKAGI
1
;
Kosuke SAKU
1
;
Satoshi KIKUSAKI
1
;
Yasuyuki ZAIMA
1
;
Takahiro SHOJIMA
1
;
Tohru TAKASEYA
1
;
Koichi ARINAGA
1
;
Eiki TAYAMA
1
Author Information
- Keywords: IMPELLA; cardiopulmonary arrest severe ischemic coronary disease; OPCAB; hypothermia therapy
- From:Japanese Journal of Cardiovascular Surgery 2021;50(4):256-260
- CountryJapan
- Language:Japanese
- Abstract: A 67-year-old man was admitted to our hospital following cardiopulmonary arrest (CPA) during work. After resuscitation, coronary angiography revealed left main coronary artery stenosis and three-vessel disease. We considered that coronary artery revascularization was required, but the neurological prognosis was unknown. Thus, an IMPELLA CP® device was inserted and systemic management, including hypothermic therapy, was initiated. Circulatory conditions were stable during hypothermia therapy. Rewarming was initiated 24 h later, and we confirmed no abnormal neurological findings. Emergency off-pump coronary artery bypass was then performed. During the procedure, hemodynamic status was maintained using the IMPELLA CP® device. After surgery, the patient was discharged without neurological complications. We report the management of a patient with severe three-vessel disease after resuscitation for CPA using an IMPELLA CP® device and hypothermic therapy.
