Extracorporeal membrane oxygenation for cardiac arrest during moyamoya cerebral revascularization surgery: case report.

作者: Omar Choudhri , Aatman Shah , Jennifer Basarab-Tung , Richard A. Jaffe , Gary K. Steinberg

DOI: 10.3171/2014.11.JNS141054

关键词:

摘要: The authors describe the case of a 51-year-old man with bilateral moyamoya disease and prior strokes who developed an asystolic cardiac arrest while undergoing revascularization surgery under mild hypothermia. patient was successfully treated venoarterial (VA) extracorporeal membrane oxygenation (ECMO) after manual cardiopulmonary resuscitation (CPR) unsuccessful for 45 minutes. ECMO is support system that indicated respiratory failure in pediatric adult patients. It increasingly being used as extension to mechanical CPR patients have suffered if underlying cause thought be reversible. Identifying which should placed on emergency controversial given its high morbidity mortality. neurosurgical settings has associated risks intracranial hemorrhage neurological compromise, resource utilization paramount costs this treatment. ...

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