Single hospital experience with emergency cardiopulmonary bypass using the portable CPS (Bard) system

• Published in: The Journal of extra-corporeal technology Vol. 29; no. 2; p. 73
• Main Authors: Wittenmyer, B L, Pomerants, B J, Duff, S B, Watson, W D, Blackford, J M
• Format: Journal Article
• Language: English
• Published: United States 01.06.1997
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Cardiopulmonary Bypass - instrumentation; Cardiopulmonary Bypass - mortality; Emergencies; Female; Heart Arrest - therapy; Humans; Male; Middle Aged; Respiratory Insufficiency - therapy; Shock, Cardiogenic - therapy; Survival
• ISSN: 0022-1058
• DOI: 10.1051/ject/199729273

One hundred four patients were placed emergently on the Bard CPS portable femoro-femoral bypass system over a 4 year period. Thirty-two patients (31%) were discharged from the hospital. Seventy-six of these patients (73%) required emergency bypass following cardiac arrest, and twenty-eight patients (26%) were in cardiogenic shock or respiratory failure. In the arrest group, no one survived an unwitnessed arrest and those with cardiopulmonary resuscitation times less than 30 minutes had a better survival rate. The highest survival rate was in those patients who did not arrest prior to bypass. Fifty-two percent of these patients were released. The 74 patients receiving interventional therapy on bypass had a higher survival rate than those unable to be treated. Of the thirty patients receiving no intervention, only three (10%) were eventually discharged. For the 19 patients receiving treatment only in the cardiovascular laboratory, the discharge rate was 26%. Of the 55 patients taken to the operating room for surgical correction, 24 (44%) were discharged from the hospital. No patients placed on bypass at an outlying hospital or treated using CPS within 72 hours of a previous open heart procedure survived.