Portable percutaneous cardiopulmonary bypass: use in supported coronary angioplasty, aortic valvuloplasty, and cardiac arrest

Citation:
Newsome, LR, Ponganis PJ, Reichman R, Nakaji N, Jaski B, Haltley M.  1992.  Portable percutaneous cardiopulmonary bypass: use in supported coronary angioplasty, aortic valvuloplasty, and cardiac arrest. Journal of Cardiothoracic and Vascular Anesthesia. 6:328-331.

Abstract:

Portable cardiopulmonary bypass (CPB) systems consisting of a battery source and charger, centrifugal pump, hollow-fiber oxygenator, pump tubing, and large-bore thin-walled femoral arterial and venous cannulae have been commercially available for the past few years. Modifications of the Seldinger technique to allow percutaneous placement facilitate the expeditious institution of CPB in virtually any hospital setting.‘” As a result of this new technology, “supported” percutaneous transluminal coronary angioplasty (PTCA) and aortic valvuloplasty (AVP), which use the prophylactic institution of percutaneous CPB prior to the beginning of these procedures, were reported in 1990. Additionally, these portable systems have been used at various medical centers to help resuscitate patients suffering from cardiac arrest from a variety of causes. Two case histories representative of the use of such a system in both scenarios and including some anesthetic considerations for the use of such systems, specifically in supported angioplasties, are reported. In addition, the authors’ total experience with portable CPB is described.

Notes:

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DOI:

10.1016/1053-0770(92)90151-V