Clinical situations and results of cardiopulmonary support by peripheral access for resuscitation and recovery.
Use of cardiopulmonary support (CPS) by peripheral access with a membrane oxygenator has made considerable progress as a result of the development of centrifugal pumps, percutaneous cannulation, and preheparinized circuits. We have used CPS for resuscitation in 3 cases, for recovery after cardiotomy in 6 cases (myocardial insufficiency, 4; pulmonary arterial hypertension, 1; respiratory insufficiency, 1), and after heart transplantation in 1 case. Of these 10 patients, 3 died during CPS, 5 were successfully weaned, and 2 underwent heart transplantation. Use of CPS is expanding for emergency cardiac assistance. Installation is simple and rapid. It allows recovery of organs pending more invasive and costly techniques.
Montiès
J R
JR
Department of Cardio-Thoracic Surgery, C.H.U. Timone, Marseille, France.
Caus
T
T
Mesana
T
T
Pomane
C
C
Mouly-Bandini
A
A
Guez
P
P
D000328:Adult; D000368:Aged; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects / Q000592:standards* / Q000639:trends; D002318:Cardiovascular Diseases / Q000150:complications / Q000401:mortality / Q000503:physiopathology; D003326:Coronary Circulation / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006353:Heart-Assist Devices / Q000592:standards; D006470:Hemorrhage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure; D011379:Prognosis; D011652:Pulmonary Circulation / Q000502:physiology; D012307:Risk Factors