(精编)【体外膜肺ECMO精品课件】 Veno-arterial ECLS for cardiogenic shock教学课件.pptVIP

Charles Hoopes MD University of Kentucky;Questions learning objectives…ECLS cardiogenic shock; “Our interventionists had a case recently where patient had a LAD PCI then was brought back a couple of days later for a RCA mid lesion. ?She arrested on insertion of the catheter in the aortic root -- never did a manipulation -- and after initial unsuccessful resuscitation, placed an impella and kept it up. ?They injected her L and it was open and, while still arrested opened the mid RCA. ?They called us after about 45 min of arrest when she was still in asystole. ?We then had ECMO there but ?by t