caa a22 4500 477112579 CHVBK 20180405111613.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF01744596 doi (NATIONALLICENCE)springer-10.1007/BF01744596 Emergency cardiopulmonary bypass support in patients with severe cardiogenic shock after acute myocardial infarction [Elektronische Daten] [Ryousuke Matsuwaka, Tetsuo Sakakibara, Hideo Shintani, Akihiko Yagura, Takafumi Masai, Atsushi Hirayama, Kazuhisa Kodama] Summary: A total of 16 patients who developed severe cardiogenic shock were resuscitated with a percutaneous cardiopulmonary support system (PCPS). The etiology of shock was acute myocardial infarction (n = 7), or post-infarction left-ventricular (LV) free wall rupture (n = 9). After successful resuscitation with the PCPS, 15 patients underwent therapeutic interventions: closure of an LV rupture (n = 9), coronary artery bypass grafting (n = 4), percutaneous transluminal angioplasty (n = 1), and percutaneous transluminal coronary recanalization (n = 1). Of the 16 patients, 14 were weaned from PCPS or standard cardiopulmonary bypass. Six patients survived longer than 30 days, 3 (19%) of whom were discharged from the hospital. The long-term survival rate in the 6 patients who underwent coronary revascularization was 33% (2/6). Of the 9 patients with LV free wall rupture, 1 was discharged from the hospital. Even though it cannot be concluded, from this small number of patients, that cardiopulmonary resuscitation using PCPS improves survival, it appears that PCPS is a powerful resuscitative modality for seriously ill patients with acute myocardial infarction or LV rupture. Springer-Verlag, 1996 Percutaneous cardiopulmonary bypass nationallicence Acute myocardial infarction nationallicence Cardiac arrest nationallicence Matsuwaka Ryousuke Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut Sakakibara Tetsuo Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut Shintani Hideo Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut Yagura Akihiko Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut Masai Takafumi Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut Hirayama Atsushi Divisions of Cardiology, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut Kodama Kazuhisa Divisions of Cardiology, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut Heart and Vessels Springer-Verlag 11/1(1996-01-01), 27-29 0910-8327 11:1<27 1996 11 380 https://doi.org/10.1007/BF01744596 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01744596 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Matsuwaka Ryousuke Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut NATIONALLICENCE 700 1- Sakakibara Tetsuo Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut NATIONALLICENCE 700 1- Shintani Hideo Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut NATIONALLICENCE 700 1- Yagura Akihiko Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut NATIONALLICENCE 700 1- Masai Takafumi Division of Cardiovascular Surgery, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut NATIONALLICENCE 700 1- Hirayama Atsushi Divisions of Cardiology, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut NATIONALLICENCE 700 1- Kodama Kazuhisa Divisions of Cardiology, Cardiovascular Center, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, 543, Osaka, Japan aut NATIONALLICENCE 773 0- Heart and Vessels Springer-Verlag 11/1(1996-01-01), 27-29 0910-8327 11:1<27 1996 11 380 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer