Percutaneous Cardiopulmonary Support for EmergencyIn-Hospital Cardiac Arrest or Cardiogenic Shock

• Published in: Korean circulation journal pp. 11 - 16
• Main Authors: 이일, 권현철, 최진호, 성기익, 이영탁, 권성욱, 조대경, 임성훈, 김선운, 이상훈, 홍경표, 박정의
• Format: Journal Article
• Language: Korean
• Published: 대한심장학회 01.01.2006
• Subjects: 내과학
• ISSN: 1738-5520; 1738-5555

Background and Objectives：Percutaneous cardiopulmonary support (PCPS) provides hemodynamic stabilityfor the treatment of patients suffering with cardiogenic shock or cardiac arrest, and it can be used in a wide varietyof clinical settings without the need for chest exploration. In this study, we summarize a single center’s experiencewith performing PCPS in the patients who suffered with severe cardiopulmonary failure. Subjects and Methods：We retrospectively reviewed 30 consecutive patients with cardiac arrest or severe cardiogenic shock who receivedPCPS for cardiac resuscitation from November 2003 to July 2005. The self-priming, heparin-coated circuit ofthe Emergency Bypass System?? was used in all the patients. Cannulation was performed via the femoral artery andvein with using an arterial (17 to 21 French) and venous cannula (21 to 28 French), percutaneously or with asmall incision. Results：The Indications for PCPS were: ischemic heart disease before coronary revascularization,myocardial disease, PCI-associated complications and post-operative hemodynamic collapse. Of the 30 patientswe evaluated, 19 patients (63%) were successfully weaned off of the PCPS; 14 of these patients (47%) were laterdischarged from the hospital. For the survivors, the time interval from cardiac arrest or severe cardiogenic shockto the onset of PCPS was significantly shorter (p=0.01), and the urine output for the initial 24 hours was significantlyhigher (p=0.04). Conclusion：This retrospective analysis demonstrates the effectiveness of using PCPSfor the treatment of critically unstable patients with cardiac arrest or cardiogenic shock. Larger scale studies ofPCPS are now needed to confirm these findings. (Korean Circulation J 2006;36:11-16) KCI Citation Count: 5