Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)?
High-risk percutaneous coronary intervention (PCI) remains a viable revascularization strategy for complex coronary arteries diseases. Selective PCI supported by extracorporeal membrane oxygenation (ECMO) is also a viable alternative for patients those are at very high risk for coronary artery bypas...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Springer
2018-12-01
|
| Series: | Egyptian Journal of Critical Care Medicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2090730318300392 |
| _version_ | 1827333534505762816 |
|---|---|
| author | A.A. Rabie S. Alasmari A. Asiri M. Alsherbini W. Alqassem M. Rajab E. Alenazi J. Thomas |
| author_facet | A.A. Rabie S. Alasmari A. Asiri M. Alsherbini W. Alqassem M. Rajab E. Alenazi J. Thomas |
| author_sort | A.A. Rabie |
| collection | DOAJ |
| description | High-risk percutaneous coronary intervention (PCI) remains a viable revascularization strategy for complex coronary arteries diseases. Selective PCI supported by extracorporeal membrane oxygenation (ECMO) is also a viable alternative for patients those are at very high risk for coronary artery bypass grafting (CABG). Extracorporeal membrane oxygenation (ECMO) can direct blood flow from the body to membrane oxygenator then return it back to the body. Thus completely/partially replacing the function of the heart and lungs to increasing the likelihood of functional recovery. We will present a case of refractory CPR post STMI rescued by ECPR with revascularization of three coronary vessels after percutaneous coronary intervention (PCI) under mechanical support of extracorporeal membrane oxygenation (ECMO) after exclusion of surgical choice due to patient risk condition. We think that in selected group of highly critical cases PCI with MCS could replace the need of major surgical intervention like CABG. Keywords: High risk PCI, ECMO, ECPR, Multi vessels diseases |
| first_indexed | 2024-03-07T17:28:46Z |
| format | Article |
| id | doaj.art-0b500d0d251a4fb7aa9c929f94e2008c |
| institution | Directory Open Access Journal |
| issn | 2090-7303 |
| language | English |
| last_indexed | 2024-03-07T17:28:46Z |
| publishDate | 2018-12-01 |
| publisher | Springer |
| record_format | Article |
| series | Egyptian Journal of Critical Care Medicine |
| spelling | doaj.art-0b500d0d251a4fb7aa9c929f94e2008c2024-03-02T18:28:53ZengSpringerEgyptian Journal of Critical Care Medicine2090-73032018-12-0163127129Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)?A.A. Rabie0S. Alasmari1A. Asiri2M. Alsherbini3W. Alqassem4M. Rajab5E. Alenazi6J. Thomas7Corresponding author.; Critical Care Department, Cardiology Department – Prince Mohamed Bin Abdelaziz Hospital, Saudi ArabiaCritical Care Department, Cardiology Department – Prince Mohamed Bin Abdelaziz Hospital, Saudi ArabiaCritical Care Department, Cardiology Department – Prince Mohamed Bin Abdelaziz Hospital, Saudi ArabiaCritical Care Department, Cardiology Department – Prince Mohamed Bin Abdelaziz Hospital, Saudi ArabiaCritical Care Department, Cardiology Department – Prince Mohamed Bin Abdelaziz Hospital, Saudi ArabiaCritical Care Department, Cardiology Department – Prince Mohamed Bin Abdelaziz Hospital, Saudi ArabiaCritical Care Department, Cardiology Department – Prince Mohamed Bin Abdelaziz Hospital, Saudi ArabiaCritical Care Department, Cardiology Department – Prince Mohamed Bin Abdelaziz Hospital, Saudi ArabiaHigh-risk percutaneous coronary intervention (PCI) remains a viable revascularization strategy for complex coronary arteries diseases. Selective PCI supported by extracorporeal membrane oxygenation (ECMO) is also a viable alternative for patients those are at very high risk for coronary artery bypass grafting (CABG). Extracorporeal membrane oxygenation (ECMO) can direct blood flow from the body to membrane oxygenator then return it back to the body. Thus completely/partially replacing the function of the heart and lungs to increasing the likelihood of functional recovery. We will present a case of refractory CPR post STMI rescued by ECPR with revascularization of three coronary vessels after percutaneous coronary intervention (PCI) under mechanical support of extracorporeal membrane oxygenation (ECMO) after exclusion of surgical choice due to patient risk condition. We think that in selected group of highly critical cases PCI with MCS could replace the need of major surgical intervention like CABG. Keywords: High risk PCI, ECMO, ECPR, Multi vessels diseaseshttp://www.sciencedirect.com/science/article/pii/S2090730318300392 |
| spellingShingle | A.A. Rabie S. Alasmari A. Asiri M. Alsherbini W. Alqassem M. Rajab E. Alenazi J. Thomas Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)? Egyptian Journal of Critical Care Medicine |
| title | Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)? |
| title_full | Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)? |
| title_fullStr | Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)? |
| title_full_unstemmed | Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)? |
| title_short | Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)? |
| title_sort | post refractory cpr due to stemi with three vessels disease complicated cardiac arrest is it possible to recover the heart after revascularization by pci post extracorporeal cardio pulmonary resuscitation ecpr |
| url | http://www.sciencedirect.com/science/article/pii/S2090730318300392 |
| work_keys_str_mv | AT aarabie postrefractorycprduetostemiwiththreevesselsdiseasecomplicatedcardiacarrestisitpossibletorecovertheheartafterrevascularizationbypcipostextracorporealcardiopulmonaryresuscitationecpr AT salasmari postrefractorycprduetostemiwiththreevesselsdiseasecomplicatedcardiacarrestisitpossibletorecovertheheartafterrevascularizationbypcipostextracorporealcardiopulmonaryresuscitationecpr AT aasiri postrefractorycprduetostemiwiththreevesselsdiseasecomplicatedcardiacarrestisitpossibletorecovertheheartafterrevascularizationbypcipostextracorporealcardiopulmonaryresuscitationecpr AT malsherbini postrefractorycprduetostemiwiththreevesselsdiseasecomplicatedcardiacarrestisitpossibletorecovertheheartafterrevascularizationbypcipostextracorporealcardiopulmonaryresuscitationecpr AT walqassem postrefractorycprduetostemiwiththreevesselsdiseasecomplicatedcardiacarrestisitpossibletorecovertheheartafterrevascularizationbypcipostextracorporealcardiopulmonaryresuscitationecpr AT mrajab postrefractorycprduetostemiwiththreevesselsdiseasecomplicatedcardiacarrestisitpossibletorecovertheheartafterrevascularizationbypcipostextracorporealcardiopulmonaryresuscitationecpr AT ealenazi postrefractorycprduetostemiwiththreevesselsdiseasecomplicatedcardiacarrestisitpossibletorecovertheheartafterrevascularizationbypcipostextracorporealcardiopulmonaryresuscitationecpr AT jthomas postrefractorycprduetostemiwiththreevesselsdiseasecomplicatedcardiacarrestisitpossibletorecovertheheartafterrevascularizationbypcipostextracorporealcardiopulmonaryresuscitationecpr |