Clinical effects of percutaneous cardiopulmonary support in severe heart failure: early results and analysis of complications.
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.
Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
Shigeru
S
Sakamoto
Junichi
J
Matsubara
Toshiaki
T
Matsubara
Yasuhiro
Y
Nagayoshi
Shinji
S
Shono
Hisateru
H
Nishizawa
Masaaki
M
Kanno
Katsunori
K
Takeuchi
Toshimichi
T
Nonaka
Jun
J
Kyosawa
D000328:Adult; D000368:Aged; D002303:Cardiac Output, Low / Q000628:therapy*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D002315:Cardiopulmonary Bypass / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D010107:Oxygenators, Membrane; D012189:Retrospective Studies; D012770:Shock, Cardiogenic / Q000628:therapy*