Erschienen in:
01.03.2012 | Case study
ECMO as a bridge to high-risk rotablation of heavily calcified coronary arteries
verfasst von:
P. Dardas, MD, N. Mezilis, MD, V. Ninios, MD, E.K. Theofilogiannakos, MD, PhD, D. Tsikaderis, MD, N. Tsotsolis, MD, A. Kolettas, MD, N. Nikoloudakis, MD, A.A. Pitsis, MD
Erschienen in:
Herz
|
Ausgabe 2/2012
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Abstract
Mechanical circulatory support (MCS) with short-term ventricular assist devices has been used as a bridge to high-risk percutaneous coronary interventions (PCI), as well as during interventions and in the post-procedural recovery period. Percutaneous extracorporeal membrane oxygenation (ECMO) is used when full cardiopulmonary support is necessary due to severe biventricular and pulmonary dysfunction. Prompted by two cases of high-risk rotablation of heavily calcified coronary arteries where ECMO was used as a bridge to intervention and post-intervention recovery, we reviewed the bibliography and the new guidelines on cardiac revascularization with regard to the utility of MCS devices in high-risk PCI cases.