Back to Search
Start Over
Various problems during long-term percutaneous cardiopulmonary support
- Source :
- Artificial organs. 21(7)
- Publication Year :
- 1997
-
Abstract
- A 54-year-old man with a left ventricular free wall rupture following acute anterior myocardial infarction underwent a repair surgery with percutaneous cardiopulmonary support (PCPS). During surgery and postoperatively, PCPS provided sufficient support flow. The patient was successfully weaned from PCPS on the 15th postoperative day and discharged subsequently. In the management of cardiac rupture patients, PCPS has the merit of preventing rupture progression and the advantage of recovery of pulmonary function. However, there are several problems to solve. The support effectiveness and recovery of the patient's heart should be carefully evaluated. Effective left heart decompression also needs to be established. Heparin-coated circuits still need proper anticoagula-tion treatment to prevent thrombus formation especially while support flow is low. A circuit construction that allows easier maintenance and safer exchange of oxygen-ators and pump heads is suggested. Ischemia of the cannulated leg should be prevented by femoral artery perfusion.
- Subjects :
- Male
medicine.medical_specialty
Percutaneous
Decompression
Biomedical Engineering
Ischemia
Myocardial Infarction
Medicine (miscellaneous)
Bioengineering
Femoral artery
Guanidines
Pulmonary function testing
Biomaterials
Blood Transfusion, Autologous
Plasminogen Activators
medicine.artery
Coronary Circulation
medicine
Humans
Thrombus
Angioplasty, Balloon, Coronary
Lung
Heart Rupture, Post-Infarction
Oxygenators, Membrane
Heart Failure
Leg
Cardiopulmonary Bypass
Intra-Aortic Balloon Pumping
business.industry
Cardiac Rupture
Hemodynamics
Anticoagulants
General Medicine
Middle Aged
medicine.disease
Surgery
Benzamidines
Treatment Outcome
Injections, Intra-Arterial
Tissue Plasminogen Activator
Heart-Assist Devices
business
Perfusion
Subjects
Details
- ISSN :
- 0160564X
- Volume :
- 21
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Artificial organs
- Accession number :
- edsair.doi.dedup.....94e6f6b5ec691cc37c774e5ca0df53e8