Cited 4 times in
Percutaneous Cardiopulmonary Support-Supported Percutaneous Coronary Intervention: A Single Center Experience
DC Field | Value | Language |
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dc.contributor.author | 홍명기 | - |
dc.contributor.author | 유희태 | - |
dc.date.accessioned | 2018-11-23T10:50:17Z | - |
dc.date.available | 2018-11-23T10:50:17Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/165761 | - |
dc.description.abstract | BACKGROUND AND OBJECTIVES: Percutaneous cardiopulmonary support (PCPS) has proven to be a valuable technique in high-risk coronary patients undergoing percutaneous coronary intervention (PCI). However, there have been few studies on PCI associated with PCPS in Korea. We summarized our experience with PCPS-supported PCI. SUBJECTS AND METHODS: We retrospectively reviewed 19 patients with PCPS-supported PCI between August 2005 and June 2009. PCPS was used as an elective procedure for 10 patients with at least two of the following conditions: left-ventricular ejection fraction <35%, target vessel(s) supplying more than 50% of the viable myocardium, high risk surgical patients, and patients who refused coronary bypass surgery. In the remaining 9 patients PCPS was used as an emergency procedure, to stabilize and even resuscitate patients with acute myocardial infarction and cardiogenic shock, in order to attempt urgent PCI. RESULTS: Among the 19 patients who were treated with PCPS-supported PCI, 11 (57.9%) survived and 8 (42.1%) patients did not. ST elevation myocardial infarction with cardiogenic shock was more prevalent in the non-survivors than in the survivors (75% vs. 27.3%, p=0.04). The elective PCPS-supported PCI was practiced more frequently in the survivors than in the non-survivors (72.7% vs. 25%, p=0.04). In the analysis of the event-free survival curve between elective and emergency procedures, there was a significant difference in the survival rate (p=0.025). Among the survivors there were more patients with multi-vessel disease, but a lower Thrombolysis in Myocardial Infarction grade in the culprit lesions was detected in the non-survivors, before PCI. Although we studied high-risk patients, there was no procedure-related mortality. CONCLUSION: Our experience suggests that PCPS may be helpful in high risk patients treated with PCI, especially in elective cases. More aggressive and larger scale studies of PCPS should follow. | - |
dc.format | application/pdf | - |
dc.language | English, Korean | - |
dc.publisher | Korean Society of Circulation | - |
dc.relation.isPartOf | KOREAN CIRCULATION JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Percutaneous Cardiopulmonary Support-Supported Percutaneous Coronary Intervention: A Single Center Experience | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Sung Soo Cho | - |
dc.contributor.googleauthor | Chang-Myung Oh | - |
dc.contributor.googleauthor | Ji-Yong Jang | - |
dc.contributor.googleauthor | Hee Tae Yu | - |
dc.contributor.googleauthor | Woo-Dae Bang | - |
dc.contributor.googleauthor | Jung-Sun Kim | - |
dc.contributor.googleauthor | Young-Guk Ko | - |
dc.contributor.googleauthor | Donghoon Choi | - |
dc.contributor.googleauthor | Myeong-Ki Hong | - |
dc.contributor.googleauthor | Won-Heum Shim | - |
dc.contributor.googleauthor | Seung-Yun Cho | - |
dc.contributor.googleauthor | Yangsoo Jang | - |
dc.identifier.doi | 10.4070/kcj.2011.41.6.299 | - |
dc.contributor.localId | A04391 | - |
dc.relation.journalcode | J01952 | - |
dc.identifier.eissn | 1738-5555 | - |
dc.identifier.pmid | 21779281 | - |
dc.subject.keyword | Shock | - |
dc.subject.keyword | cardiogenic | - |
dc.contributor.alternativeName | Hong, Myeong Ki | - |
dc.contributor.affiliatedAuthor | 홍명기 | - |
dc.citation.volume | 41 | - |
dc.citation.startPage | 299 | - |
dc.citation.endPage | 303 | - |
dc.identifier.bibliographicCitation | KOREAN CIRCULATION JOURNAL, Vol.41 : 299-303, 2011 | - |
dc.identifier.rimsid | 60341 | - |
dc.type.rims | ART | - |
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