ECMO Plus Intra-arrest PCI - Excellent Option in a ‘no other Option’ Situation

M. Agny
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Abstract

A major cause of sudden unexpected death is cardiac arrest. Despite a properly performed cardiopulmonary resuscitation, only a minority of patients who suffer cardiac arrest are able to be meaningfully resuscitated. ECPR (an alternative CPR method in which Extracorporeal Membrane Oxygenation (ECMO) is used) along with intra-arrest PCI can be effective lifesaving dual procedures for patients in whom conventional Cardio Pulmonary Resuscitation (CPR) cannot achieve the return of spontaneous circulation. Also, important would be the fact that near optimal temporal perfusion of the other vital organs is ensured during the course of this high-risk situation needing a quick salvage.
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ECMO加停搏内PCI -在“没有其他选择”的情况下的最佳选择
猝死的一个主要原因是心脏骤停。尽管进行了适当的心肺复苏,但只有少数心脏骤停的患者能够得到有意义的复苏。ECPR(一种使用体外膜肺氧合(ECMO)的替代CPR方法)与腔内PCI对于传统心肺复苏(CPR)无法恢复自主循环的患者来说是有效的挽救生命的双重手术。此外,重要的是,在这种需要快速抢救的高风险情况下,可以确保其他重要器官的时间灌注接近最佳。
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