Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2003
Clinical effects of percutaneous cardiopulmonary support in severe heart failure: early results and analysis of complications.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Sakamoto Shigeru, Matsubara Junichi, Matsubara Toshiaki, Nagayoshi Yasuhiro, Shono Shinji, Nishizawa Hisateru, Kanno Masaaki, Takeuchi Katsunori, Nonaka Toshimichi, Kyosawa Jun
Аннотация
Between January 1993 and December 2001, we employed percutaneous cardiopulmonary support (PCPS) in 35 patients. PCPS was used for postcardiotomy in 25 of these patients who could not be weaned from cardiopulmonary bypass (CPB) because of severe cardiogenic shock. In the other 10 patients, PCPS was used for a non-surgical disease. Twenty-nine patients (82.9%) were weaned from PCPS, and 28 (80.0%) survived. The other 7 patients (20.0%) died due to postoperative complications. The causes of death were multiple organ failure (MOF) due to wound bleeding, low cardiac output syndrome (LOS), myonephropathic metabolic syndrome (MNMS) with severe lower limbs ischemia, cerebrovascular accident (CVA), and sepsis. The first cause for the complications was postoperative sustained severe heart failure. To improve the survival rate, it was necessary to prevent bleeding and begin PCPS at an earlier stage.