"Bridge to recovery"aEuro"implantation of an ImpellaA® CP in infarct-related cardiogenic shock

被引：0

作者：

Froehlich, G. ^{[1
]}

Pibernik, A. ^{[1
]}

Ferrari, M. ^{[1
]}

机构：

[1] Dr Horst Schmidt Kliniken HSK Wiesbaden, Med Klin 1, D-65199 Wiesbaden, Germany

来源：

MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN | 2015年 / 110卷 / 03期

关键词：

Myocardial infarction; Cardiopulmonary resuscitation; Heart-assist devices; Lactate; Echocardiography; ACUTE MYOCARDIAL-INFARCTION; MECHANICAL CIRCULATORY SUPPORT; MILD THERAPEUTIC HYPOTHERMIA; HOSPITAL CARDIAC-ARREST; ST-SEGMENT ELEVATION; CARDIOPULMONARY-RESUSCITATION; RECOVERY; REGISTRY; TRIAL; MANAGEMENT;

D O I：

10.1007/s00063-014-0426-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We present the case of a 43-year-old man with the diagnosis of a posterior and anterior wall infarction who was taken to our institution after prolonged cardioplumonary resuscitation. Cardiac catheterization showed thrombotic occlusion of the LAD and a subtotal stenosis of the right coronary artery. Both lesions were revascularized by PCI. Despite catecholamine infusion, the patient developed severe cardiogenic shock with multiorgan dysfunction syndrome under therapeutic hypothermia. Thus, an ImpellaA (R) A CP, a percutaneous left ventricular assist device (LVAD), was implanted. Due to effective LVAD support, it was possible to wean and remove the device after 75 h of support. The impaired left ventricular ejection fraction and wall-motion abnormalities which were present on day 1 achieved complete recuperation on day 14. The patient was discharged without any neurological deficits.

引用

页码：225 / 230

页数：6

共 27 条

[1] Incidence of EMS-treated out-of-hospital cardiac arrest in Europe [J].

Atwood, C ;

Eisenberg, MS ;

Herlitz, J ;

Rea, TD .

RESUSCITATION, 2005, 67 (01) :75-80

[2] Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies [J].

Berdowski, Jocelyn ;

Berg, Robert A. ;

Tijssen, Jan G. P. ;

Koster, Rudolph W. .

RESUSCITATION, 2010, 81 (11) :1479-1487

[3] Dispatcher-assisted telephone-guided cardiopulmonary resuscitation:: an underused lifesaving system [J].

Bohm, Katarina ;

Rosenqvist, Marten ;

Hollenberga, Jacob ;

Biber, Bjoern ;

Engerstroem, Lars ;

Svensson, Leif .

EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2007, 14 (05) :256-259

[4] MYOCARDIAL STUNNING IN MAN [J].

BOLLI, R .

CIRCULATION, 1992, 86 (06) :1671-1691

[5] Hemodynamic effects of a continuous infusion of levosimendan in critically ill patients with cardiogenic shock requiring catecholamines [J].

Delle Karth, G ;

Buberl, A ;

Geppert, A ;

Neunteufl, T ;

Huelsmann, M ;

Kopp, C ;

Nikfardjam, M ;

Berger, R ;

Heinz, G .

ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2003, 47 (10) :1251-1256

[6] Therapy of cardiogenic shock after myocardial infarction [J].

Ferrari, M. ;

Figulla, H. R. .

INTERNIST, 2008, 49 (09) :1047-1051

[7] Acute heart failure: mechanical circulatory support [J].

Ferrari, M. .

DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2009, 134 (28-29) :1474-1477

[8]

Froehlich G., 2014, Intensiv- und Notfallbehandlung, V39, P5, DOI 10.5414/IBX00411

[9] Cardiogenic shock complicating acute myocardial infarction - Etiologies, management and outcome: A report from the SHOCK Trial Registry [J].

Hochman, JS ;

Buller, CE ;

Sleeper, LA ;

Boland, J ;

Dzavik, V ;

Sanborn, TA ;

Godfrey, E ;

White, HD ;

Lim, J ;

LeJemtel, T .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (03) :1063-1070

[10] Prognostication of neurologic outcome in cardiac arrest patients after mild therapeutic hypothermia: a meta-analysis of the current literature [J].

Kamps, M. J. A. ;

Horn, J. ;

Oddo, M. ;

Fugate, J. E. ;

Storm, C. ;

Cronberg, T. ;

Wijman, C. A. ;

Wu, O. ;

Binnekade, J. M. ;

Hoedemaekers, C. W. E. .

INTENSIVE CARE MEDICINE, 2013, 39 (10) :1671-1682

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