Successful emergency percutaneous cardiopulmonary support during coronary intervention in an 80-year old patient

In an 80-year old patient with acute coronary syndrome emergency institution of stand-by percutaneous cardiopulmonary support (PCPS; Bio-Medicus; Medtronic Inc, Minneapolis MN) for hemodynamic collapse in the cardiac catheterization laboratory resulted in successful hemodynamic stabilization and ena...

Full description

Saved in:
Bibliographic Details
Published inWiener Klinische Wochenschrift Vol. 112; no. 18; p. 821
Main Authors Koreny, M, Heinz, G, Geppert, A, Neunteufl, T, Glogar, D, Kiss, K, Wexberg, P, Siostrzonek, P
Format Journal Article
LanguageEnglish
Published Austria 29.09.2000
Subjects
Aged
Aged, 80 and over
Atherectomy, Coronary
Cardiac Catheterization
Coronary Angiography
Coronary Disease - diagnostic imaging
Coronary Disease - physiopathology
Coronary Disease - therapy
Emergencies
Female
Heart Failure - physiopathology
Heart Failure - therapy
Hemodynamics - physiology
Humans
Intra-Aortic Balloon Pumping
Stents
Online AccessGet more information

Cover

More Information
Summary:In an 80-year old patient with acute coronary syndrome emergency institution of stand-by percutaneous cardiopulmonary support (PCPS; Bio-Medicus; Medtronic Inc, Minneapolis MN) for hemodynamic collapse in the cardiac catheterization laboratory resulted in successful hemodynamic stabilization and enabled safe performance of a complex coronary intervention. Weaning from PCPS was effectuated after 4 hours total extracorporal circulation time. Despite development of a systemic inflammatory response syndrome and prolonged weaning from mechanical ventilation the patient could be discharged from the intensive care unit after 14 days and eventually from hospital another 28 days later with favorable outcome. Although an increased complication rate with prolonged rehabilitation has to be taken into account percutaneous cardiopulmonary support may constitute a live-saving option even in selected elderly patients.
ISSN:0043-5325
1613-7671