ECMO support in cardiac intervention of severe pulmonary stenosis: A case report.

Abstract:

RATIONALE:Patients of critical pulmonary artery stenosis would face severe hypoxemia, cardiac failure as well as massive hemorrhage during percutaneous balloon dilation and pulmonary arterial stent implantation. Here, we present a case in which the elective use of extracorporeal membrane oxygenation (ECMO) support successfully facilitated safe percutaneous balloon dilation of pulmonary artery and stent implantation on a patient with severe pulmonary artery stenosis caused by aorto-arteritis. PATIENT CONCERNS:A 47-year-old man was hospitalized due to 10 years of post-exercise exhaustion and shortness of breath. Half a month ago the symptoms deteriorated. He also manifested systemic edema and could only sit upright to breath during night time. Computed tomographic angiography (CTA) indicated severe pulmonary stenosis caused by aorto-arteritis. DIAGNOSES:Right pulmonary artery stenosis, left pulmonary artery occlusion, severe tricuspid regurgitation, right atrium, and ventricle enlargement, atrial fibrillation with rapid ventricular rates, NYHA class IV, pulmonary infection. INTERVENTIONS:V-A ECMO support was considered during percutaneous balloon dilation of pulmonary artery and stent implantation. OUTCOMES:The patient remained hemodynamically stable throughout the procedure with no inotropic support. ECMO was successfully weaned off after the intervention, with no procedural complications. Postoperative echocardiography indicated much better heart function, and he was discharged uneventfully 5 days later. CONCLUSION:V-A ECMO is capable of preventing hypoxemia and providing effective circulation support during cardiac intervention in patients of severe pulmonary stenosis.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Yu X,Zhou RH

doi

10.1097/MD.0000000000015754

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

e15754

issue

20

eissn

0025-7974

issn

1536-5964

pii

00005792-201905170-00111

journal_volume

98

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Morphological characteristics and clinical significance of the distal femur in patients with hemophilia-related knee arthritis.

    abstract::This retrospective study aimed to define the morphological characteristics of the distal femur in patients with hemophilia-related knee arthritis (HA) and develop precise femoral component installation during total knee arthroplasty (TKA) using a reference axis.Computed tomography (CT) was performed in 75 patients [HA...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022986

    authors: Gao Q,Yao Y,Jing J

    更新日期:2020-11-20 00:00:00

  • Silver dressings for the healing of venous leg ulcer: A meta-analysis and systematic review.

    abstract::This study was aimed to evaluate whether silver-containing dressings were superior to other types of dressings in the treatment of venous leg ulcers (VLU) and their specific advantages.Eight databases (Cochrane Library, PubMed, Web of Science, Ovid-Medline, Wanfang, VIP, China Biology Medicine, and China National Know...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000022164

    authors: Zhao M,Zhang D,Tan L,Huang H

    更新日期:2020-09-11 00:00:00

  • Effect of multiple clinical factors on recurrent angina after percutaneous coronary intervention: A retrospective study from 398 ST-segment elevation myocardial infarction patients.

    abstract::Recurrent angina (RA) has an important influence on health status of patients after percutaneous coronary intervention (PCI). This study aimed to retrospectively investigate the effect of multiple clinical factors on both short-term and long-term development of RA.A total of 398 ST-segment elevation myocardial infarct...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005015

    authors: Zhang J,Liu C,Pan C,Bai M,Zhang J,Peng Y,Zheng D,Zhang Z

    更新日期:2016-10-01 00:00:00

  • Venous thromboembolism prophylaxis in patients hospitalized in medical wards: A real life experience.

    abstract::Venous thromboembolism (VTE) is a preventable cause of morbidity and mortality in acutely ill patients hospitalized in medical departments. Thromboprophylaxis with anticoagulants was shown to be safe and effective in medical patients with high risk to develop VTE. Despite guidelines recommendations, the rate of thromb...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019127

    authors: Mahlab-Guri K,Otman MS,Replianski N,Rosenberg-Bezalel S,Rabinovich I,Sthoeger Z

    更新日期:2020-02-01 00:00:00

  • A meta-analysis: Internet mindfulness-based interventions for stress management in the general population.

    abstract:BACKGROUND:Psychological stress was an important mental health problem among the general population and warrant research to inform strategies for effective prevention. iMBIs provide a possibility to offer easily accessible, efficacious, convenient, and low-cost interventions on a wide scale. However, the efficacy of iM...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000020493

    authors: Zhang Y,Xue J,Huang Y

    更新日期:2020-07-10 00:00:00

  • Body mass index is a practical preoperative nutritional index for postoperative infectious complications after intestinal resection in patients with Crohn's disease.

    abstract::The patients with Crohn's disease (CD) are often accompanied with nutritional deficiencies. Compared with other intestinal benign disease, patients with CD have the higher risk of developing postoperative complications following intestinal resection. The aim of this study was to investigate the risk factors for postop...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007113

    authors: Zhu Y,Zhou W,Qi W,Liu W,Chen M,Zhu H,Xiang J,Xie Q,Chen P

    更新日期:2017-06-01 00:00:00

  • Th17/Treg imbalance in patients with severe acute pancreatitis: Attenuated by high-volume hemofiltration treatment.

    abstract:BACKGROUND:To investigate the effect of high-volume hemofiltration (HVHF) on Th17/Treg imbalance in patients with severe acute pancreatitis (SAP). METHODS:Forty-two patients with SAP were randomly received 24 hours of continuous HVHF (n = 21) or without HVHF (n = 21). At day 28, all 42 patients were divided into survi...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000021491

    authors: Guo J,Li Z,Tang D,Zhang J

    更新日期:2020-07-31 00:00:00

  • Characterization of ocular biometrics and aqueous humor dynamics in primary angle closure suspects.

    abstract::Detailed characterizations of ocular biometrics and parameters of aqueous humor dynamics are lacking in primary angle closure suspect (PACS) patients. This study aims to characterize these parameters and compare them with age-matched healthy volunteers.Elderly healthy volunteers (60.6 ± 7.2 years of age, mean ± SD, n ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006096

    authors: Guo L,Deng Y,Fang L,Liu C,Guo T

    更新日期:2017-02-01 00:00:00

  • Mining prognostic factors of extensive-stage small-cell lung cancer patients using nomogram model.

    abstract::This study is to establish the nomogram model and provide clinical therapy decision-making for extensive-stage small-cell lung cancer (ES-SCLC) patients with different metastatic sites using the Surveillance, Epidemiology, and End Results (SEER) Program.A total of 10,025 patients of ES-SCLC with metastasis from Januar...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021798

    authors: Gao H,Dang Y,Qi T,Huang S,Zhang X

    更新日期:2020-08-14 00:00:00

  • Effect of cognitive-behavioral therapy with music therapy in reducing physics test anxiety among students as measured by generalized test anxiety scale.

    abstract:BACKGROUND:The study determined the effect of cognitive-behavioral therapy (CBT) with music in reducing physics test anxiety among secondary school students as measured by generalized test anxiety scale. METHODS:Pre-test post-test randomized control trial experimental design was adopted in this study. A total of 83 se...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000016406

    authors: Ugwuanyi CS,Ede MO,Onyishi CN,Ossai OV,Nwokenna EN,Obikwelu LC,Ikechukwu-Ilomuanya A,Amoke CV,Okeke AO,Ene CU,Offordile EE,Ozoemena LC,Nweke ML

    更新日期:2020-04-01 00:00:00

  • Dose-Effectiveness Relationships Determining the Efficacy of Ibandronate for Management of Osteoporosis: A Meta-Analysis.

    abstract::The purpose of this study was to perform a meta-analysis on the efficacy of ibandronate by evaluating the effect sizes of different dosing regimens.Major electronic databases were searched from 1985 to February 2015. A random effects meta-analysis was performed in STATA.Data from 34 studies (13,639 patients) were incl...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000001007

    authors: Hou Y,Gu K,Xu C,Ding H,Liu C,Tuoheti Y

    更新日期:2015-07-01 00:00:00

  • Efficacy of submucosal bupivacaine injection for pain relief after endoscopic submucosal dissection: A multicenter, prospective, randomized controlled, and double-blind trial.

    abstract:BACKGROUND AND AIM:Although abdominal pain is a common adverse event related to endoscopic submucosal dissection (ESD), it can be sometimes underestimated by endoscopists. There are some endoscopic interventions available for the prevention of post-ESD pain, but their efficacy has not been established. We investigated ...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/MD.0000000000015360

    authors: Jung JH,Jang HJ,Bang CS,Baik GH,Park SW

    更新日期:2019-04-01 00:00:00

  • Clinico-radiologic features of molar-incisor malformation in a case series of 38 patients: A retrospective observational study.

    abstract::Molar-incisor malformation (MIM) is a recently defined dental abnormality of molar root and incisors, and introduced as one of the causes of periapical and periodontal abscess. The purpose of this study was to investigate the clinical and radiological features of MIM, with special emphasis on various medical history. ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017356

    authors: Kim JE,Hong JK,Yi WJ,Heo MS,Lee SS,Choi SC,Huh KH

    更新日期:2019-10-01 00:00:00

  • Does glycopyrrolate premedication facilitate tracheal intubation with a rigid video-stylet?: A randomized controlled trial.

    abstract:BACKGROUND:A rigid video-stylet intubation device provides safe and accurate access to the trachea by enabling visualization of the airway structures during tracheal intubation. The primary purpose of this study was to examine the effects of glycopyrrolate premedication on tracheal intubation with a rigid video-stylet....

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000011834

    authors: Cho EA,Hwang SH,Lee SH,Ryu KH,Kim YH

    更新日期:2018-08-01 00:00:00

  • High Agatston Calcium Score of Intracranial Carotid Artery: A Significant Risk Factor for Cognitive Impairment.

    abstract::The effect of intracranial internal carotid artery (ICA) calcification on cognitive impairment is uncertain. Our objective was to investigate whether intracranial ICA calcification is a significant cognitive predictor for cognitive impairment. Global cognition and degrees of intracranial ICA calcification of 579 subje...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001546

    authors: Kao HW,Liou M,Chung HW,Liu HS,Tsai PH,Chiang SW,Chou MC,Peng GS,Huang GS,Hsu HH,Chen CY

    更新日期:2015-09-01 00:00:00

  • Usefulness of voxel-based lesion mapping for predicting motor recovery in subjects with basal ganglia hemorrhage: A preliminary study with 2 case reports.

    abstract::It is important to estimate motor recovery in the early phase after stroke. Many studies have demonstrated that both diffusion tensor tractography (DTT) and motor-evoked potentials (MEP) are valuable predictors of motor recovery, but these modalities do not directly reflect the status of the injured gray matter. We re...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003838

    authors: Kim DH,Kyeong S,Cho Y,Jung TM,Ahn SJ,Park YG

    更新日期:2016-06-01 00:00:00

  • Evaluation of Two New Indices of Blood Pressure Variability Using Postural Change in Older Fallers.

    abstract::To evaluate the utility of blood pressure variability (BPV) calculated using previously published and newly introduced indices using the variables falls and age as comparators.While postural hypotension has long been considered a risk factor for falls, there is currently no documented evidence on the relationship betw...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003614

    authors: Goh CH,Ng SC,Kamaruzzaman SB,Chin AV,Poi PJH,Chee KH,Imran ZA,Tan MP

    更新日期:2016-05-01 00:00:00

  • Successful conservative treatment: multiple atypical fractures in osteoporotic patients after bisphosphate medication: a unique case report.

    abstract::Bisphosphonates have been commonly used for the treatment of osteoporosis. However, there have been recent case reports of atypical fractures citing their long-term use, which inhibits the turnover of bone components. A 64-year-old woman visited the outpatient clinic with pain in her right thigh and ambulation difficu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000446

    authors: Kim HS,Jung HY,Kim MO,Joa KL,Kim YJ,Kwon SY,Kim CH

    更新日期:2015-02-01 00:00:00

  • Atypical primary pulmonary amyloidosis: A rare case report.

    abstract:RATIONALE:Pulmonary amyloidosis is a rare respiratory disease characterized by amyloid deposition in the lungs. The clinical manifestations of pulmonary amyloidosis are variable and without specific symptoms. PATIENT CONCERNS:We report a rare case of tracheobronchial amyloidosis to improve our understanding of the dis...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020828

    authors: Peng X,Wang X,Luo D,Zuo W,Yao H,Zhang W

    更新日期:2020-06-26 00:00:00

  • Capillary hemangioma arising from the lesser omentum in an adult: A case report.

    abstract:RATIONALE:Although capillary hemangiomas, common lesions involving the proliferation of small capillary vessels and a single layer of endothelial cells, can arise in any organ, they are rarely reported in the greater or lesser omentum. Here in, we report a case of capillary hemangioma arising from the lesser omentum in...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018693

    authors: Nagano H,Goi T,Taguchi S,Tsubaki T,Tsuchiyama T,Uematsu H,Noriki S

    更新日期:2020-01-01 00:00:00

  • CT-Guided Percutaneous Radiofrequency Thermocoagulation for Recurrent Trigeminal Neuralgia After Microvascular Decompression: A Cohort Study.

    abstract::This article evaluates the long-term outcomes of computed tomography (CT)-guided percutaneous radiofrequency thermocoagulation (PRT) for patients with recurrent trigeminal neuralgia (TN) after microvascular decompression (MVD).This is a retrospective study of 41 patients with intractable TN who after MVD underwent CT-...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001176

    authors: Lai GH,Tang YZ,Wang XP,Qin HJ,Ni JX

    更新日期:2015-08-01 00:00:00

  • Medical management of septic arthritis of sternoclavicular joint: A case report.

    abstract:RATIONALE:Sternoclavicular joint septic arthritis is an unusual disease in healthy adults, and Staphylococcus aureus is the most common causative pathogen. The current treatment of choice is surgery with sternoclavicular joint resection and pectoralis flap closure, especially when the disease is complicated by osteomye...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022938

    authors: Kwon HY,Cha B,Im JH,Baek JH,Lee JS

    更新日期:2020-10-30 00:00:00

  • Comparison of periarticular anesthesia with liposomal bupivacaine with femoral nerve block for pain control after total knee arthroplasty: A PRISMA-compliant meta-analysis.

    abstract:BACKGROUND:Periarticular anesthesia (PAI) with liposomal bupivacaine (LB) and femoral nerve block (FNB) were 2 common type of pain management after total knee arthroplasty (TKA). There is no consensus about PAI with LB shows better clinical outcome than FNB. Thus, we performed a systematic review and meta-analysis to c...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000006462

    authors: Liu SQ,Chen X,Yu CC,Weng CW,Wu YQ,Xiong JC,Xu SH

    更新日期:2017-03-01 00:00:00

  • Sacral epiduroscopic laser decompression for complex regional pain syndrome after lumbar spinal surgery: A case report.

    abstract:RATIONALE:CRPS after a lumbar surgery has symptoms that are similar to PSSS. However, standard criteria for distinguishing CRPS from PSSS do not exist. We present a case report of a 31-year-old female with CRPS symptoms after lumbar spinal surgery treated by performing SELD. PATIENT CONCERNS:This patient was referred ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010694

    authors: Jung JW,Kim YH,Kim H,Kang E,Jo H,Ko MJ

    更新日期:2018-05-01 00:00:00

  • Pooled analysis of efficacy and safety of ureteral stent removal using an extraction string.

    abstract:OBJECTIVE:We conducted a Pooled analysis to investigate the efficacy and safety of ureteral stent removal using an extraction string. METHODS:A systematic review was performed by using the Preferred Reporting Items for Systematic Reviews and Pooled analyses. The sources including EMBASE, MEDLINE, and the Cochrane Cont...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000017169

    authors: Sun X,Dong L,Chen T,Huang Z,Zhang X,Wu J,Lin C,Cui Y

    更新日期:2019-09-01 00:00:00

  • Study on the adverse effects following chemotherapy for breast cancer diagnosis during pregnancy: The first case report in China.

    abstract:RATIONALE:Treatment of breast cancer during pregnancy (BCP) remains a challenge to physicians. Surgery and chemotherapy during pregnancy are widely used for the treatment of BCP. Herein, we reported 3 Chinese patients with BCP who underwent chemotherapy during pregnancy and were followed up for adverse effects. PATIEN...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008582

    authors: Ye X,He Q,Zhou X

    更新日期:2017-11-01 00:00:00

  • Inositol supplement improves clinical pregnancy rate in infertile women undergoing ovulation induction for ICSI or IVF-ET.

    abstract:OBJECTIVE:Pretreatment of myoinositol is a very new method that was evaluated in multiple small studies to manage poor ovarian response in assisted reproduction. This study was to determine the efficacy of myoinositol supplement in infertile women undergoing ovulation induction for intracytoplasmic sperm injection (ICS...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000008842

    authors: Zheng X,Lin D,Zhang Y,Lin Y,Song J,Li S,Sun Y

    更新日期:2017-12-01 00:00:00

  • Efficacy and safety of image-guidance radiotherapy by helical tomotherapy in patients with lung cancer.

    abstract::This study aimed to explore the efficacy and toxicity of image-guided stereotactic body radiotherapy (IGSBR) by helical tomotherapy in patients with lung cancer among Chinese Han population.A total of 21 patients with stage I lung cancer were included. They received a total of 60 Gy factions IGSBR. The outcomes includ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009243

    authors: Chen XR,Dong JN,Zhang F,Yao TL

    更新日期:2018-01-01 00:00:00

  • Nonmedical Use of Cough Syrup Among Secondary Vocational School Students: A National Survey in China.

    abstract::Nonmedical use of cough syrup (NUCS) among secondary vocational school (SVS) students has been an increasing concern for public health in China, but no data were available. This cross-sectional study aimed to investigate the epidemiological characters of NUCS as well as its risk factors among SVS students in China.Fro...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002969

    authors: Wu Q,Yu J,Yang C,Chen J,Yang L,Zhang H,Teng S,Li J,Yan D,Cao J,Zhao Y,Wang Z

    更新日期:2016-03-01 00:00:00

  • Lupus intestinal pseudo-obstruction and hydronephrosis: Case report.

    abstract:INTRODUCTION:Intestinal pseudo-obstruction (IPO) is a rare and life-threatening complication of lupus. PATIENT CONCERNS:A patient with long-standing lupus developed recurrent abdominal pain and distension as well as nausea and emesis. DIAGNOSIS:Imaging showed dilated small bowel loops with air-fluid levels and bowel ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016178

    authors: Adler BL,Timlin H,Birnbaum J

    更新日期:2019-07-01 00:00:00