静脉动脉体外膜氧合用于继发于难治性多形性室性心动过速和心脏骤停的 "保护性 "经皮冠状动脉介入治疗。

IF 1.1 Q3 ANESTHESIOLOGY

Annals of Cardiac Anaesthesia Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI:10.4103/aca.aca_136_23

Jordan D Phillips, John R Spratt, Calvin Y Choi, Salvatore T Scali, Marc O Maybauer

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引用次数: 0

摘要

摘要：我们介绍了一例因难治性多形性室性心动过速伴冠状动脉缺血导致心跳骤停而继发的心源性休克病例。患者恢复自主循环后，插管进行外周静脉体外膜肺氧合（V-A ECMO），以备进行高风险的 "保护性 "经皮冠状动脉介入治疗（PCI）。在完全的 V-A ECMO 支持下，肌力药和血管加压药被停用，患者顺利进行了左侧圆周和钝缘病变的 PCI。48 小时后，患者解除了麻醉，并在最初心脏骤停 16 天后得以出院回家。

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Venoarterial Extracorporeal Membrane Oxygenation for "Protected" Percutaneous Coronary Intervention Secondary to Refractory Polymorphic Ventricular Tachycardia and Cardiac Arrest.

Abstract: We present a case of cardiogenic shock secondary to refractory polymorphic ventricular tachycardia associated with coronary ischemia resulting in cardiac arrest. Following the return of spontaneous circulation, the patient was cannulated for peripheral venoarterial extracorporeal membrane oxygenation (V-A ECMO) in anticipation of high-risk "protected" percutaneous coronary intervention (PCI). Under full V-A ECMO support, inotropes and vasopressors were weaned off, and the patient underwent uneventful PCI of left circumflex and obtuse marginal lesions. After 48 hours, the patient was decannulated and could be discharged home alive 16 days after his initial cardiac arrest.

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来源期刊

Annals of Cardiac Anaesthesia ANESTHESIOLOGY-

CiteScore

1.60

自引率

0.00%

发文量

147

审稿时长

26 weeks

期刊介绍： Annals of Cardiac Anaesthesia (ACA) is the official journal of the Indian Association of Cardiovascular Thoracic Anaesthesiologists. The journal is indexed with PubMed/MEDLINE, Excerpta Medica/EMBASE, IndMed and MedInd. The journal’s full text is online at www.annals.in. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ immediately on acceptance. In addition, the journal would allow free access (Open Access) to its contents, which is likely to attract more readers and citations to articles published in ACA. Authors do not have to pay for submission, processing or publication of articles in ACA.