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Renée Hartz
John H. Sanders, Jr
James W. Frederiksen
Axel W. Joob
Lawrence L. Michaelis
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Ann Thorac Surg 1990;50:437-441
© 1990 The Society of Thoracic Surgeons

Articles

Clinical experience with portable cardiopulmonary bypass in cardiac arrest patients

Renée Hartz, MD*, Joseph LoCicero, III, MD, John H. Sanders, Jr, MD, James W. Frederiksen, MD, Axel W. Joob, MD, Lawrence L. Michaelis, MD

Division of Cardiothoracic Surgery, Department of Surgery, Northwestern University Medical School, Chicago, Illinois, USA

Accepted for publication April 11, 1990.

* Address reprint requests to Dr Hartz, Division of Cardiothoracic Surgery, Department of Surgery, Northwestern University Medical School, 303 E Chicago Ave, Ward Bldg, Suite 9-105, Chicago, IL 60611-3008.

To evaluate the use of portable cardiopulmonary bypass as a resuscitative tool and its impact on long-term survival of patients in cardiac arrest, we reviewed the results of 32 consecutive patients resuscitated by cardiopulmonary bypass for cardiac arrest or severe hemodynamic compromise at Northwestern Memorial Hospital over a 2-year period. Overall survival was 12.5%. Only 1 (3.4%) of the 29 patients who had cardiac arrest survived and left the hospital. All 3 patients who had severe hemodynamic compromise but not cardiac arrest were long-term survivors. Our study suggests that portable cardiopulmonary support systems used as a resuscitative tool do not prolong the survival of most cardiac arrest patients but may be useful for patients with shock due to mechanical causes and for those with profound hemodynamic compromise due to ischemia or myocardial infarction. Portable heart-lung machines can provide patients with excellent hemodynamic support; however, neurological or cardiac recovery is unlikely once cardiac arrest occurs.




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