Benefits of combined balloon pumping and percutaneous cardiopulmonary bypass
| Autor: | Lawrence Barker, Robert H. Zeff, André Grignon, Margaret H. Verhey, Steven J. Phillips, William J. Wickemeyer, Mark A. Tannenbaum, Chamnahn Kongtahworn, L.A. Iannone, David F. Gordon, Magdi Ghali |
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| Rok vydání: | 1992 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Cardiac Output Low Shock Cardiogenic Intra-Aortic Balloon Pumping Balloon law.invention Aortic valve replacement law medicine Cardiopulmonary bypass Humans Myocardial infarction Aged Cardiopulmonary Bypass business.industry Cardiogenic shock Middle Aged medicine.disease Combined Modality Therapy Surgery Transplantation Shock (circulatory) Anesthesia Female medicine.symptom Cardiology and Cardiovascular Medicine business Blood Flow Velocity |
| Zdroj: | The Annals of thoracic surgery. 54(5) |
| ISSN: | 0003-4975 |
| Popis: | Sixteen patients (2 women, 14 men) aged 29 to 72 years with continued cardiogenic shock during intraaortic balloon pumping (IABP) had additional treatment with percutaneous cardiopulmonary bypass (PBY). Cause of cardiogenic shock was myocardial infarction in 7 (3 survived), failed percutaneous transluminal coronary angioplasty requiring emergency coronary artery bypass grafting in 5, postoperative aortic valve replacement in 1, postoperative emergency coronary artery bypass grafting in 1, after cardiac transplantation in 1, and bridging to transplantation in 1. Mean blood pressure with PBY and IABP combined was 75 mm Hg versus 60 mm Hg with IABP off. Percutaneous cardiopulmonary bypass flows ranged from 0.8 to 2.1 L/min with a mean flow of 1.3 L/min. Time on IABP ranged from 24 hours to 1 week. Time on IABP to PBY ranged from 1 to 20 hours, and time on PBY ranged from 65 minutes to 20 hours. Ten of 16 (63%) were successfully weaned, and 3 died after weaning. Seven of 16 (44%) survive. Combined IABP with PBY appears to be a better therapy than either one individually. Staging the therapy as the balloon first in and last out appears to be a good methodology. |
| Databáze: | OpenAIRE |
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