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Outcome of extracorporeal membrane oxygenation support for complex high-risk elective percutaneous coronary interventions: A single-center experience.
- Source :
-
Heart & lung : the journal of critical care [Heart Lung] 2015 Jul-Aug; Vol. 44 (4), pp. 309-13. Date of Electronic Publication: 2015 Apr 23. - Publication Year :
- 2015
-
Abstract
- Objective: We report our initial experience with extracorporeal membrane oxygenation (ECMO) use in elective high-risk complex percutaneous coronary intervention (PCI).<br />Background: ECMO has been employed as hemodynamic support in patients with cardiac arrest and hemodynamic shock.<br />Methods: We performed a single-center prospectical study, enrolling all patients at very high-risk for coronary artery bypass grafting (CABG). Major adverse cardiac and cerebrovascular events (MACCE) were defined as a composite of death, acute myocardial infarction (MI), stroke and further need for revascularization.<br />Results: Twelve patients underwent elective high-risk PCI with ECMO support (mean age = 63.5 ± 8.7 years). The mean SYNTAX score was 30.1 ± 10.1. All PCI procedures were successful and no in-hospital MACCE was observed. At 6-months, neither death nor MI was noticed. Two patients (17%) required further revascularization, and one patient required chronic hemodialysis.<br />Conclusions: Elective high-risk PCI supported by ECMO is a viable alternative for patients who are at very high risk for CABG.<br /> (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Coronary Artery Bypass methods
Elective Surgical Procedures methods
Female
Heart Arrest etiology
Humans
Male
Middle Aged
Myocardial Infarction surgery
Myocardial Revascularization methods
Prospective Studies
Reoperation
Risk Factors
Stroke etiology
Treatment Outcome
Coronary Artery Disease surgery
Extracorporeal Membrane Oxygenation methods
Percutaneous Coronary Intervention methods
Subjects
Details
- Language :
- English
- ISSN :
- 1527-3288
- Volume :
- 44
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Heart & lung : the journal of critical care
- Publication Type :
- Academic Journal
- Accession number :
- 25913808
- Full Text :
- https://doi.org/10.1016/j.hrtlng.2015.03.005