Salvatore Davide Tomasello1, Marouane Boukhris2, Vladimir Ganyukov3, Alfredo R Galassi1, Dmitri Shukevich1, Boris Haes4, Nikita Kochergin4, Roman Tarasov4, Vadim Popov4, Leonid Barbarash4. 1. Department of Medical Sciences and Pediatrics, Catheterization Laboratory and Cardiovascular Interventional Unit, Cannizzaro Hospital, University of Catania, Via Messina 829, 95126 Catania, Italy. 2. Department of Medical Sciences and Pediatrics, Catheterization Laboratory and Cardiovascular Interventional Unit, Cannizzaro Hospital, University of Catania, Via Messina 829, 95126 Catania, Italy; Faculty of Medicine of Tunis, University Tunis El Manar, Tunisia. 3. Department of Interventional Cardiology, State Research Institute for Complex Issues of Cardiovascular Diseases, Siberian Branch of the Russian Academy of Medical Sciences, 6 Sosnovy Boulevard, Kemerovo 650002, Russia. Electronic address: ganyukov@mail.ru. 4. Department of Interventional Cardiology, State Research Institute for Complex Issues of Cardiovascular Diseases, Siberian Branch of the Russian Academy of Medical Sciences, 6 Sosnovy Boulevard, Kemerovo 650002, Russia.
Abstract
OBJECTIVE: We report our initial experience with extracorporeal membrane oxygenation (ECMO) use in elective high-risk complex percutaneous coronary intervention (PCI). BACKGROUND: ECMO has been employed as hemodynamic support in patients with cardiac arrest and hemodynamic shock. METHODS: We performed a single-center prospectical study, enrolling all patients at very high-risk for coronary artery bypass grafting (CABG). Major adverse cardiac and cerebrovascular events (MACCE) were defined as a composite of death, acute myocardial infarction (MI), stroke and further need for revascularization. RESULTS: Twelve patients underwent elective high-risk PCI with ECMO support (mean age = 63.5 ± 8.7 years). The mean SYNTAX score was 30.1 ± 10.1. All PCI procedures were successful and no in-hospital MACCE was observed. At 6-months, neither death nor MI was noticed. Two patients (17%) required further revascularization, and one patient required chronic hemodialysis. CONCLUSIONS: Elective high-risk PCI supported by ECMO is a viable alternative for patients who are at very high risk for CABG.
OBJECTIVE: We report our initial experience with extracorporeal membrane oxygenation (ECMO) use in elective high-risk complex percutaneous coronary intervention (PCI). BACKGROUND: ECMO has been employed as hemodynamic support in patients with cardiac arrest and hemodynamic shock. METHODS: We performed a single-center prospectical study, enrolling all patients at very high-risk for coronary artery bypass grafting (CABG). Major adverse cardiac and cerebrovascular events (MACCE) were defined as a composite of death, acute myocardial infarction (MI), stroke and further need for revascularization. RESULTS: Twelve patients underwent elective high-risk PCI with ECMO support (mean age = 63.5 ± 8.7 years). The mean SYNTAX score was 30.1 ± 10.1. All PCI procedures were successful and no in-hospital MACCE was observed. At 6-months, neither death nor MI was noticed. Two patients (17%) required further revascularization, and one patient required chronic hemodialysis. CONCLUSIONS: Elective high-risk PCI supported by ECMO is a viable alternative for patients who are at very high risk for CABG.
Authors: Robertas Samalavičius; Lina Puodžiukaitė; Vytautas Abraitis; Ieva Norkienė; Nadežda Ščupakova; Justina Pekarskienė; Aleksejus Zorinas; Kęstutis Ručinskas; Pranas Šerpytis Journal: Acta Med Litu Date: 2019
Authors: Mohamad Alkhouli; Ahmed Al Mustafa; Zakeih Chaker; Fahad Alqahtani; Sami Aljohani; David R Holmes Journal: J Card Surg Date: 2017-03-07 Impact factor: 1.620
Authors: F S van den Brink; T A Meijers; S H Hofma; A J van Boven; A Nap; A Vonk; P Symersky; K D Sjauw; P Knaapen Journal: Neth Heart J Date: 2020-03 Impact factor: 2.380