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Adult ECMO - Perfusion.com

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<strong>ECMO</strong> Support After Percutaneous Coronary<br />

Intervention For Acute Myocardial Infarction<br />

PCI has evolved as an important treatment for patients who present with<br />

AMI associated with cardiogenic shock.<br />

Surgical revascularization not ideal treatment option due to established<br />

infarct and iatrogenic coagulopathy.<br />

Surgical LVAD not an ideal choice since LV recovery is difficult to<br />

predict and inadequate time to evaluate patient.<br />

Methods: Study period from June 2008 to September 2009. Nine<br />

consecutive patients treated with <strong>ECMO</strong> following PCI.<br />

Summary: Emergency <strong>ECMO</strong> may be used as a bridge to further clinical<br />

treatments. Can be rapidly established and achieves hemodynamic<br />

stability and normalization of end organ perfusion with no major<br />

<strong>com</strong>plications.<br />

Piacentino et al<br />

submitted to JACC 2010

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