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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.41 No.6
발행연도
2011.1
수록면
299 - 303 (5page)

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Background and Objectives: Percutaneous cardiopulmonary support (PCPS) has proven to be a valuable technique in high-risk coronary patients undergoing percutaneous coronary intervention (PCI). However, there have been few studies on PCI associated with PCPS in Korea. We summarized our experience with PCPS-supported PCI. Subjects and Methods: We retrospectively reviewed 19 patients with PCPS-supported PCI between August 2005 and June 2009. PCPS was used as an elective procedure for 10 patients with at least two of the following conditions: left-ventricular ejection fraction <35%, target ves-sel(s) supplying more than 50% of the viable myocardium, high risk surgical patients, and patients who refused coronary by-pass surgery. In the remaining 9 patients PCPS was used as an emergency procedure, to stabilize and even resuscitate patients with acute myocardial infarction and cardiogenic shock, in order to attempt urgent PCI. Results: Among the 19 patients who were treated with PCPS-supported PCI, 11 (57.9%) survived and 8 (42.1%) patients did not. ST elevation myocardial infarction with cardiogenic shock was more prevalent in the non-survivors than in the survivors (75% vs. 27.3%, p=0.04). The elective PCPS-supported PCI was practiced more frequently in the survivors than in the non-survivors (72.7% vs. 25%, p=0.04). In the analysis of the event-free survival curve between elective and emergency procedures, there was a significant difference in the survival rate (p=0.025). Among the survivors there were more patients with multi-vessel disease, but a lower Thrombolysis in Myocardial Infarction grade in the culprit lesions was detected in the non-survivors, before PCI. Although we studied high-risk patients, there was no procedure-related mortality. Conclusion: Our experience suggests that PCPS may be helpful in high risk patients treated with PCI, especially in elective cases. More aggressive and larger scale studies of PCPS should follow.
#Shock #cardiogenic.

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참고문헌 (19)

참고문헌 신청
Hill J / 1972 / Prolonged extracorporeal oxygenation for acute post-traumatic respiratory failure (shock-lung syndrome). Use of the Bramson membrane lung / N Engl J Med 286:629~634 google schola Phillips S / 1989 / Percutaneous cardiopulmonary bypass: application and indication for use / Ann Thorac Surg 47:121~123 google schola Sawa Y / 2005 / Percutaneous extracorporeal cardiopulmonary support: current practice and its role / J Artif Organs 8:217~221 google schola Marasco SF / 2008 / Review of ECMO (Extra Corporeal Membrane Oxygenation) support in critically ill adult patients / Heart Lung Circ 17(Suppl 4):41~47 google schola Vogel RA / 1988 / Initial experience with coronary angioplasty and aortic valvuloplasty using elective semipercutaneous cardiopulmonary support / Am J Cardiol 62:811~813 google schola

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