Abstract
Cardiopulmonary bypass (CPB), initiated percutaneously or via “cutdown,” serves as an effective means of resuscitating patients suffering cardiac arrest in or out of the cardiac catheterization laboratory. 1–5 More recently, portable CPB units have been used to support patients undergoing “high-risk” angioplasty or valvuloplasty. 6–19 These portable bypass systems, available commercially as self-contained units, have been employed prophylactically during high-risk procedures for hemodynamic support, or have been employed in a standby fashion with either guide wires or femoral cannulas in place, with a perfusionist in attendance. This chapter will follow the evolution of supported percutaneous transluminal coronary angioplasty (S-PTCA) and delineate the role of this important treatment modality in the armamentarium of the cardiologist and cardiac surgeon.
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References
Kanter KR, Pennington G, Vandormael M, et al. Emergency resuscitation with extracorporeal membrane oxygenation for failed angioplasty JAm Coll Cardiol 1988;11:149A. Abstract.
McDonnel BE, Napoli P, Bowman GA, et al. Evolving myocardial infarction during percutaneous transluminal coronary angioplasty: the use of portable percutaneous cardiopulmonary support. Mil Med 1990;155:565–567.
Phillips SJ, Zeff RH, Kongtahworn C, et al. Percutaneous cardiopulmonary bypass: application and indication for use. Ann Thorac Surg 1989;47:121–123.
Mattox KL, Beall AC. Resuscitation of the moribund patient using portable cardiopulmonary bypass. Ann Thorac Surg 1976;22:436–442.
Shawl FA, Domanski MJ, Wish MH, et al. Emergency cardiopulmonary bypass support in patients with cardiac arrest in the catheterization laboratory. Cathet Cardiovasc Diagn 1990;19:8–12.
Vogel RA. The Maryland experience: angioplasty and valvuloplasty using percutaneous cardiopulmonary support. Am J Cardiol 1986;62:11K–14K.
Vogel RA, Shawl F, Tommaso C, et al. Initial report of the National Registry of Elective Cardiopulmonary Bypass Supported Coronary Angioplasty. J Am Coll Cardiol 1990;15: 23–29.
Wanner WR, Peterson SC, Blankenship WR, et al. Emergency portable cardiopulmonary bypass for abrupt left main occlusion during coronary angioplasty. Excellent long-term survival. Chest 1992; 101:869–870.
Shawl FA, Domanski MJ, Wish MH, et al. Percutaneous cardiopulmonary bypass support in the catheterization laboratory: technique and complications. Am Heart J 1990;120:195–203.
Lincoff AM, Popma JJ, Ellis SG, et al. Percutaneous support devices for high-risk or complicated coronary angioplasty. JAm Coll Cardiol 1991;17:770–780.
Osamu U, Kyoji K, Nobuhiko K. Percutaneous transluminal coronary angioplasty with cardiopulmonary bypass for stenosis of the most proximal part of the left anterior descending coronary artery. Br Heart J 1990;63:178–179.
Vogel JH, Ruiz CE, Jahnke EJ, et al. Percutaneous (nonsurgical) supported angioplasty in unprotected left main disease and severe left ventricular dysfunction. Clin Cardiol 1989;12:297–300.
Gundry SR, Brinkley J, Wolk M, et al. Percutaneous cardiopulmonary bypass to support angioplasty and valvuloplasty. Technical considerations ASAIO Trans 1989;35:725–727.
Shawl FA. Percutaneous cardiopulmonary support in high-risk angioplasty. Cardiol Clin 1989;7:865–875.
Freedman RJ Jr, Wrenn RC, Godley ML, et al. Complex multiple percutaneous transluminal coronary angioplasties with vortex oxygenator cardiopulmonary support in the community hospital setting. Cathet Cardiovasc Diagn 1989; 17:237–242.
Tommaso CL, Johnson RA, Stafford JL, et al. Supported coronary angioplasty and standby supported coronary angioplasty for high-risk coronary artery disease. Am J Cardiol 1990;66:1255–1257.
Vogel RA, Tommaso CL, Gundry SR. Initial experience with coronary angioplasty and aortic valvuloplasty using elective semipercutaneous cardiopulmonary support. Am J Cardiol 1988;62:811–813.
Shawl FA, Domanski MJ, Punja S, et al. Percutaneous cardiopulmonary bypass support in high-risk patients undergoing percutaneous transluminal coronary angioplasty. Am J Cardiol 1989;64:1258–1263.
Shawl FA, Domanski MJ, Punja S, et al. Percutaneous cardiopulmonary bypass to support high-risk electric coronary angioplasty. JAm Coll Cardiol 1989;13:160A. Abstract.
Pavlides GS, Hauser AM, Stack RK, et al. Effect of peripheral cardiopulmonary bypass on left ventricular size, after-load and myocardial function during elective supported coronary angioplasty. JAm Coll Cardiol 1991;16:499–505.
Axelrod HI, Galloway AC, Murphy MS, et al. A comparison of methods for limiting myocardial infarct expansion during acute reperfusion—primary role of unloading. Circulation 1987;76:v28–32.
Feld H, Herz I, Fred G, et al. Cardiopulmonary support increases morbidity and mortality in high-risk coronary angioplasty. Am J Cardiol 1991;68:790–792.
Kahn JK, Rutherford BD, McConahay DR, et al. Supported “high-risk” coronary angioplasty using intraaortic balloon pump counterpulsation. J Am Coll Cardiol 1990;15:1157–1165.
Lazar HL, Yang SM, Rivers S, et al. Role of percutaneous bypass in reducing infarct size after revascularization for acute coronary insufficiency. Circulation 1991;64(suppl 5): 416–421.
The Society of Thoracic Surgeons and Council of the American Association for Thoracic Surgery. The use of extracorporeal circulation for circulatory support during PTCA. J Thorac Cardiovasc Surg 1990;99:1011–1021.
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Macheers, S.K. (1995). Cardiopulmonary Bypass-Supported Angioplasty. In: Mora, C.T., Guyton, R.A., Finlayson, D.C., Rigatti, R.L. (eds) Cardiopulmonary Bypass. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2484-6_25
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DOI: https://doi.org/10.1007/978-1-4612-2484-6_25
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