Related Experiment Video
Updated: Jun 8, 2026
09:54
A Recovery Cardiopulmonary Bypass Model Without Transfusion or Inotropic Agents in Rats
Published on: March 23, 2018
Percutaneous cardiopulmonary support in cardiac arrest
J T Sugimoto1, E Baird, C Bruner
1Department of Surgery, Creighton University School of Medicine, Omaha, Nebraska.
ASAIO Transactions
|July 1, 1991
Summary
Percutaneous cardiopulmonary support (CPS) can stabilize cardiac arrest patients. Young patients without atherosclerotic cardiovascular disease (ASCVD) showed better long-term survival outcomes with CPS.
Area of Science:
- Cardiology
- Critical Care Medicine
- Cardiovascular Surgery
Background:
- Emergency resuscitation from cardiac arrest presents significant challenges.
- Percutaneous cardiopulmonary support (CPS) offers a potential method for stabilization during critical events.
Purpose of the Study:
- To evaluate the outcomes of patients undergoing emergency resuscitation from cardiac arrest using percutaneous cardiopulmonary support (CPS).
- To identify factors associated with long-term survival in patients requiring CPS for cardiac arrest.
Main Methods:
- Retrospective analysis of 11 patients who received emergency percutaneous cardiopulmonary support (CPS).
- Data collection included patient demographics, interventions performed (e.g., coronary revascularization, PTCA, LVAD insertion), duration of support, and survival status.
- Statistical comparison between survivors and non-survivors regarding age, time to CPS, and presence of atherosclerotic cardiovascular disease (ASCVD).
Main Results:
- Two out of 11 patients (18%) achieved long-term survival.
- CPS was instituted without complications in all patients, with an average support duration of 304.3 minutes.
- Patients undergoing emergency surgery had a 100% mortality rate.
- Survivors were significantly younger (p = 0.034) and had no history of atherosclerotic cardiovascular disease (ASCVD) (p = 0.018).
- Time to CPS and duration of CPS did not correlate with outcome.
Conclusions:
- Percutaneous cardiopulmonary support (CPS) can effectively stabilize patients in cardiac arrest.
- Younger age and absence of atherosclerotic cardiovascular disease (ASCVD) are favorable prognostic indicators for long-term survival in patients requiring CPS.
- While CPS provides stabilization, survival is influenced by underlying patient characteristics and interventions performed.
More Related Videos
Related Concept Videos
01:21Cardiopulmonary Resuscitation I: Adult
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
01:23Cardiopulmonary Resuscitation III: AED Use
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...