Universität zu Köln

Michels, G., Krausgrill, B., Rahmanian, P., Wahlers, T., Baldus, S. and Pfister, R. (2013). Extracorporeal membrane oxygenation as bridge to recovery in infarction-related refractory right heart failure. Dtsch. Med. Wochenschr., 138 (44). S. 2246 - 2250. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413

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Abstract

History and clinical findings: We present a 41-year-old man with cardiac arrest in need of cardiopulmonary resuscitation (CPR) with the diagnosis of a posterior wall infarction, who was hospitalized in our cardiac centre. Investigations: The cardiac catheterization showed a thrombotic obstruction of the right coronary artery. After percutaneous coronary revascularization a hemodynamically stable situation could be achieved and the patient was admitted to the intensive care unit (ICU). Treatment and clinical course: The patient became again hemodynamically unstable and a CPR was required. Based on the acute right heart failure with therapy refractory cardiogenic shock we decided within our heart team for an extra corporeal membrane oxygenation (ECMO) applied during CPR in the ICU. The extracorporeal support was needed for three days. Seven days after the emergency cardiac catheterization the patient was extubated and transferred to our intermediate care. Conclusion: Extracorporeal life support is feasible und effective for bridging therapy in patients with acute ischemic right heart failure with refractory cardiogenic shock and successful reperfusion therapy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Michels, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Krausgrill, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rahmanian, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wahlers, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Baldus, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-474663
DOI:	10.1055/s-0033-1349539
Journal or Publication Title:	Dtsch. Med. Wochenschr.
Volume:	138
Number:	44
Page Range:	S. 2246 - 2250
Date:	2013
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4413
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ACUTE MYOCARDIAL-INFARCTION; CARDIOGENIC-SHOCK; LIFE-SUPPORT; CARDIAC-ARREST; REVASCULARIZATION; IMPLANTATION; GUIDELINES; EXPERIENCE; OUTCOMES; ESC Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47466