Journal of JCIC

Background: Cardiopulmonary support (CPS) plays an important role in cardiopulmonary resuscitation and peri-operative management. In addition, active therapeutic intervention is often necessary for weaning from the support system.

Purpose and Method: Retrospective study of the catheter interventions (CIs) experienced in our institute since June 2007 until October 2015 are included and assessed in this study.

Results: In the study period, CPS was installed in 71 cases, and of them, 10 cases underwent cardiac catheterization including 6 cases (7 sessions) of catheter-based therapeutic procedures. Failure to be weaned off the cardiopulmonary bypass after surgery, respiratory or circulatory failure, and preparation for hybrid approach by right ventricular outflow tract puncture were the reasons for installation of CPS. Four cases to which CPS was installed before CI were weaned from it mean 4.3 days after the CI. In two cases, CPS was prepared electively and weaned off immediately after the CI. A case of hybrid procedure was complicated by excessive bleeding after decannulation that required surgical hemostasis next day and subsequent mediastinitis. There were no other complications related to the procedures.

Conclusions: CIs under CPS in this study featured wide variety and safe performance, and contributed to successful weaning and survival. In the cases of poor circulatory status, it will be one of favorable options to prepare CPS before the hybrid procedure.