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Ann Thorac Surg 1989;47:121-123
© 1989 The Society of Thoracic Surgeons

Articles

Percutaneous cardiopulmonary bypass: Application and indication for use

Steven J. Phillips, MD*, Robert H. Zeff, MD, Chamnahn Kongtahworn, MD, James R. Skinner, MD, Richard S. Toon, MD, André Grignon, MD, R.Michael Kennedy, MD, William Wickemeyer, MD, L.A. Iannone, MD

Department of Cardiovascular Medicine and Surgery, Mercy Hospital Medical Center, Des Moines, Iowa U.S.A.

* Address reprint requests to Dr Phillips, 421 Laurel, Suite 400, Des Moines, 1A 50314.

Percutaneous cardiopulmonary bypass (CPB) was used in 22 patients: 7 patients with cardiac arrest due to acute myocardial infarction; 4 patients in cardiac arrest because of failed angioplasty; 1 patient for high-risk elective angioplasty; 1 patient with massive pulmonary emboli; 2 patients with hypothermia; 2 pediatric patients (1 with sepsis and 1 in combination with extracorporeal membrane oxygenator support); 1 patient with refractory arrhythmia; and 4 patients with trauma. Percutaneous CPB involves a modified Seldinger technique that is easily applied. All patients except those with massive trauma were resuscitated with the use of percutaneous CPB. One patient requiring a very difficult proposed angioplasty received percutaneous CPB support while triple-vessel angioplasty was performed. Percutaneous CPB appears to be beneficial in resuscitating patients with refractory cardiac arrest or other forms of circulatory collapse except trauma. Limited use for brief periods in high-risk patients having elective angioplasty might be applicable.




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