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Outcome of extracorporeal membrane oxygenation support for complex high-risk elective percutaneous coronary interventions: A single-center experience by Salvatore Davide Tomasello; Marouane Boukhris; Vladimir Ganyukov; Alfredo R. Galassi; Dmitri Shukevich; Boris Haes; Nikita Kochergin; Roman Tarasov; Vadim Popov; Leonid Barbarash is a Medicine article available to read on EtoBox.
What is Outcome of extracorporeal membrane oxygenation support for complex high-risk elective percutaneous coronary interventions: A single-center experience about?
## Objective: We report our initial experience with extracorporeal membrane oxygenation (ecmo) use in elective high-risk complex percutaneous coronary intervention (pci). ## Background: Ecmo has been employed as hemodynamic support in patients with cardiac arrest and hemodynamic shock. ## Methods: We performed a single-center prospectical study, enrolling all patients at very high-risk for coronary artery bypass grafting (cabg). major adverse cardiac and cerebrovascular events (macce) were defined as a composite of death, acute myocardial infarction (mi), stroke and further need for revascularization. ## Results: Twelve patients underwent elective high-risk pci with ecmo support (mean age = 63.5 ± 8.7 years). the mean syntax score was 30.1 ± 10.1. all pci procedures were successful and no in-hospital macce was observed. at 6-months, neither death nor mi was noticed. two patients (17%) required further revascularization, and one patient required chronic hemodialysis. ## Conclusions: Elective high-risk pci supported by ecmo is a viable alternative for patients who are at very high risk for cabg.
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- Author
- Salvatore Davide Tomasello; Marouane Boukhris; Vladimir Ganyukov; Alfredo R. Galassi; Dmitri Shukevich; Boris Haes; Nikita Kochergin; Roman Tarasov; Vadim Popov; Leonid Barbarash
- Publisher
- Elsevier BV
- Published
- 2015
- Language
- EN
- Field
- Medicine (Health Sciences)