使用Impella救治院外心脏骤停患者：三例病例报告
Saving patients with out-of-hospital cardiac arrest using Impella: three case reports.
作者信息
Aida Kenta, Azuma Kazunari, Ishii Yuri, Suzuki Shoji, Oda Jun
机构信息
Department of Emergency and Critical Care Medicine Tokyo Medical University Tokyo Japan.
出版信息
Acute Med Surg. 2020 Sep 8;7(1):e564. doi: 10.1002/ams2.564. eCollection 2020 Jan-Dec.
BACKGROUND
The efficacy of Impella for patients with out-of-hospital cardiac arrest is unknown. We report the cases of three patients with cardiogenic out-of-hospital cardiac arrest who received hemodynamic support with Impella.
CASE PRESENTATION
Two patients, Case 2 and Case 3, received concomitant treatment with venoarterial extracorporeal membrane oxygenation and Impella. Percutaneous coronary intervention was undertaken in two patients, Case 1 and Case 3. Two patients, Case 1 and Case 3, showed favorable neurological function with the Glasgow-Pittsburgh cerebral performance and overall performance categories score of 1 at discharge.
CONCLUSION
These findings suggest that Impella is effective in patients with out-of-hospital cardiac arrest. Further studies are required to understand the use of Impella for patients with out-of-hospital cardiac arrest.
背景
体外膜肺氧合（Impella）对院外心脏骤停患者的疗效尚不清楚。我们报告了3例心源性院外心脏骤停患者接受Impella血流动力学支持的病例。
病例介绍
病例2和病例3这2例患者同时接受了静脉-动脉体外膜肺氧合和Impella治疗。病例1和病例3这2例患者接受了经皮冠状动脉介入治疗。病例1和病例3这2例患者出院时格拉斯哥-匹兹堡脑功能和总体功能分类评分为1，神经功能良好。
结论
这些发现表明，Impella对院外心脏骤停患者有效。需要进一步研究以了解Impella在院外心脏骤停患者中的应用。
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