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Clinical Situations and Results of Cardiopulmonary Support by Peripheral Access for Resuscitation and Recovery
Author(s) -
Montiès J.R.,
Caus T.,
Mesana T.,
Pomane C.,
MoulyBandini A.,
Guez P.
Publication year - 1995
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1111/j.1525-1594.1995.tb02418.x
Subject(s) - medicine , cardiopulmonary resuscitation , resuscitation , peripheral , heart transplantation , percutaneous , transplantation , pulmonary hypertension , cardiology , oxygenator , membrane oxygenator , ventricular assist device , intensive care medicine , anesthesia , cardiopulmonary bypass , heart failure
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 pre‐heparinized circuits. We have used CPS for resuscitation in 3 cases, for recovery after cardiotomy in 6 cases (myo‐cardial 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.