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Long-term outcomes of high-risk percutaneous coronary interventions under extracorporeal membrane oxygenation support:An observational study

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World Journal of Clinical Cases 2022年第16期10卷 5266-5274页

作者： Yi-Xiong Huang Zheng-Ming Xu Li Zhao Yi Cao Yu Chen Yi-Gang Qiu Ying-Ming Liu Peng-Yu Zhang Jiang-Chun He Tian-Chang Li Medical School of Chinese People’s Liberation Army Beijing 100853China Department of Cardiology Sixth Medical Center of Chinese People’s Liberation Army General HospitalBeijing 100048China

BACKGROUND Venoarterial extracorporeal membrane oxygenation(VA-ECMO)offers hemodynamic support for patients undergoing high-risk percutaneous coronary interventions(PCIs).However,long-term outcomes associated with VA-ECMO have not previously been *** To explore long-term outcomes in high-risk cases undergoing PCI supported by *** In the present observational cohort study,61 patients who received VA-ECMOsupported high-risk PCI between April 2012 and January 2020 at the Sixth Medical Center of Chinese People’s Liberation Army General Hospital were *** endpoint characteristics such as all-cause mortality,repeated cardiovascular diseases,and cardiac death were *** Among 61 patients,three failed stent implantation due to chronic total occlusions with severely calcified *** patient showed VA-ECMO intolerance because of high left ventricular *** was successfully performed in 57 patients(93.4%).The in-hospital mortality was 23.0%,and the overall survival was 45.9%,with a median follow-up period of 38.6(8.6-62.1)*** VA-ECMO can be used as a support in patients undergoing high-risk PCI as it is associated with favorable long-term patient survival.

关键词： high-risk percutaneous coronary intervention Venoarterial extracorporeal membrane oxygenation Overall survival Long-term survival

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