| Title |
Successful extracorporeal membrane oxygenation assisted revascularisation in a high-risk elderly patient refused surgical treatment / |
| Translation of Title |
Sėkminga perkutaninė koronarinė intervencija didelės rizikos senyvo amžiaus pacientei taikant ekstrakorporinę membraninę oksigenaciją. |
| Authors |
Samalavičius, Robertas Stasys ; Puodžiukaitė, Lina ; Abraitis, Vytautas ; Norkienė, Ieva ; Ščupakova, Nadežda ; Pekarskienė, Justina ; Zorinas, Aleksejus ; Ručinskas, Kęstutis ; Šerpytis, Pranas |
| DOI |
10.6001/actamedica.v26i4.4205 |
| Full Text |
|
| Is Part of |
Acta medica Lituanica.. Vilnius : Lietuvos mokslų akademijos leidykla. 2019, vol. 26, no. 4, p. 205-210.. ISSN 1392-0138. eISSN 2029-4174 |
| Keywords [eng] |
ECMO ; percutaneous coronary intervention ; coronary artery disease ; elderly patient |
| Abstract [eng] |
Management of high-risk elderly patients requiring revascularisation remains a clinical challenge. We report a case of extracorporeal membrane oxygenation (ECMO) assisted complex percutaneous coronary intervention in a high-risk octogenarian. An 83-year-old female with signs of worsening heart failure was admitted to the emergency department of a tertiary care facility. Transthoracic echocardiography revealed a decreased left ventricular ejection fraction of 20% with severe mitral regurgitation and mild aortic and tricuspid valve insufficiency. Three-vessel disease was found during coronary angiography. Due to the patient’s frailty, a high-risk surgery decision to proceed with ECMO assisted percutaneous coronary intervention was made during a heart team meeting. Following initiation of mechanical support, coronary lesions were treated with three drug-eluting stents. After the procedure, the patient was transferred to the ICU on ECMO support, where she was successfully weaned from the device 9 h later. Her ICU stay was four days. She was successfully discharged from the hospital after uneventful recovery. At one-year’s follow-up, the patient was clinically stable in an overall state of general well-being and with complete participation in routine activities; she had good exercise tolerance and no signs of ischemia. This report highlights the possibility of use of ECMO during PCI in high-risk elderly patients. |
| Published |
Vilnius : Lietuvos mokslų akademijos leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2019 |
| CC license |
|
