Percutaneous cardiopulmonary bypass for cardiac emergencies

Kurusz, Mark; Zwischenberger, Joseph B
July 2002
Perfusion;Jul2002, Vol. 17 Issue 4, p269
Academic Journal
Percutaneous cardiopulmonary support systems (PCPS) are compact, battery-powered, portable heart-lung machines that can be implemented rapidly in any area of the hospital using thin-walled cannulae inserted via the femoral vessels. PCPS provides temporary circulatory support by actively aspirating blood from the patient's venous system using a centrifugal pump and hollow fiber membrane oxygenator for gas exchange. A review of clinical reports has delineated several indications for emergent applications, with the most frequent being cardiac arrest (CA) or cardiogenic shock (CS). Survival is more likely in patients with CS (40%) compared to CA (21%). Implementation of PCPS after unwitnessed CA or cardiopulmonary resuscitation > 30 min yields a patient survival rate of <10%. The likelihood of patient survival after emergent PCPS is most often related to the patient undergoing a definitive anatomic surgical repair such as coronary artery bypass or pulmonary embolectomy. If the need for circulatory support extends beyond 6 h, conversion to conventional long-term extracorporeal membrane oxygenation or a ventricular assist device is recommended.


Related Articles

  • Controversies in Fluid Resuscitation. Farcy, David A.; Petersen, Paul L.; Rabinowitz, David; Scalea, Thomas // Emergency Medicine Reports;6/21/2010, Vol. 21 Issue 14, p157 

    The June 21, 2010 issue of "Emergency Medicine Reports," the practical journal for emergency physicians, is presented. This issue focuses on the aspects of crystalloids and colloids, which are equivalent for fluid resuscitation in the vast majority of seriously ill or injured patients. It is...

  • Emergency Medicine. Barsan, William G. // JAMA: Journal of the American Medical Association;6/19/91, Vol. 265 Issue 23, p3115 

    Presents several news on emergency medicine as of June 1991. Research on cardiac and brain resuscitation; Toxic effects of cocaine; Role of the coronary perfusion pressure achieved during cardiopulmonary resuscitation; Evaluation of emergency cardiopulmonary bypass for cardiac arrest.

  • Minimally invasive incision vs. sternotomy for valve repair. Sadovsky, Richard // American Family Physician;6/1/1998, Vol. 57 Issue 11, p2838 

    Presents information on the use of the median sternotomy, cardiopulmonary bypass and various degrees of systemic hypothermia in relation to classic surgery to repair or replace cardiac valves. Reference to the use of the minimally invasive or `key hole' surgery; Information on one patient...

  • Vardenafil improves myocardial and endothelial function after cardiopulmonary bypass. Szabó, Gábor; Veres, Gábor; Radovits, Tamás; Miesel-Gröschel, Christiane; Karck, Matthias // BMC Pharmacology;2007 Supplement 1, Vol. 7, pP57 

    An abstract of the paper "Vardenafil Improves Myocardial and Endothelial Function After Cardiopulmonary Bypass," by Christiane Miesel-Gröschel, Matthias Karck, and colleagues is presented.

  • Alteration of vancomycin pharmacokinetics during cardiopulmonary bypass in patients undergoing cardiac surgery. García, María Pilar Ortega; Martí-Bonmatí, Ezequiel; Serrano, Javier Guevara; Gómez, Isabel Gil // American Journal of Health-System Pharmacy;2/1/2003, Vol. 60 Issue 3, p260 

    Studies the alteration of vancomycin phramacokinetics during cardiopulmonary bypass (CPB) in patients undergoing cardiac surgery. Enrollment of 18 patients in the study; Association of the onset of (CPB) with a drop in serum vancomycin concentration.

  • A new concept of integrated cardiopulmonary bypass circuit Mueller, Xavier M.; Jegger, David; Augstburger, Monique; Horisberger, Judith; Godar, Gilles; von Segesser, Ludwig K. // European Journal of Cardio-Thoracic Surgery;May2002, Vol. 21 Issue 5, p840 

    Objective: Standard cardiopulmonary bypass (CPB) circuits with their large surface area and volume contribute to postoperative systemic inflammatory reaction and hemodilution. In order to minimize these problems a new approach has been developed resulting in a single disposable, compact...

  • Adenoviral gene transfer to the heart during cardiopulmonary bypass: effect of myocardial protection technique on transgene expression Jones, J.M.; Wilson, K.H.; Koch, W.J.; Milano, C.A. // European Journal of Cardio-Thoracic Surgery;May2002, Vol. 21 Issue 5, p847 

    Objective: Adenoviral gene transfer to the arrested heart during cardiopulmonary bypass (CPB) is a novel method of allowing prolonged vector contact with the myocardium. In this model we investigated the importance of temperature, duration of arrest and cardioplegia on transgene expression....

  • 844 Cardiac resynchronization therapy for weaning from cardiopulmonal bypass.  // European Journal of Heart Failure. Supplements;Jun2005, Vol. 4 Issue 1, p197 

    An abstract of the study "Cardiac resynchronization therapy for weaning from cardiopulmonal bypass," by S. Raab add colleagues, is presented.

  • Peri-operative comparison of different transient external shunt techniques in bidirectional cavo-pulmonary shunt. Tireli, Emin; Basaran, Murat; Kafali, Eylul; Harmandar, Bugra; Camci, Emre; Dayioglu, Enver; Onursal, Ertan // European Journal of Cardio-Thoracic Surgery;Apr2003, Vol. 23 Issue 4, p518 

    Objective: In patients with functional single ventricular physiology, the avoidance of cardiopulmonary bypass offers many advantages including earlier extubation, decreased necessity of inotropic support, improved hemodynamical status and reduced likehood of post-operative prolonged pleural...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics