Anterograde perfusion in acute limb ischemia secondary to vascular occlusive cardiopulmonary support.
Cardiopulmonary support (CPS) can resuscitate a patient with circulatory collapse during high-risk interventional procedures, although vascular complications may accompany its use. We report a patient with cardiogenic shock secondary to myocardial infarction who required extended CPS support associated with acute infarct-related coronary artery angioplasty and stent placement. Leg ischemia due to an occlusive cannula was resolved using a percutaneous anterograde perfusion device. In general, such devices may have application in patients dependent on mechanical support associated with limb ischemia.
D000208:Acute Disease; D001157:Arterial Occlusive Diseases / Q000209:etiology / Q000628:therapy*; D005112:Extracorporeal Circulation / Q000009:adverse effects*; D005263:Femoral Artery; D006801:Humans; D007511:Ischemia / Q000628:therapy*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000628:therapy; D012770:Shock, Cardiogenic / Q000209:etiology*