SwePub
Sök i LIBRIS databas

  Extended search

id:"swepub:oai:lup.lub.lu.se:eaf93fef-77b6-4c89-928e-a95cc8095718"
 

Search: id:"swepub:oai:lup.lub.lu.se:eaf93fef-77b6-4c89-928e-a95cc8095718" > A First-in-Man Stud...

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist
  • Smith, Elliot J. (author)

A First-in-Man Study of the Reitan Catheter Pump for Circulatory Support in Patients Undergoing High-Risk Percutaneous Coronary Intervention

  • Article/chapterEnglish2009

Publisher, publication year, extent ...

  • Wiley,2009

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:eaf93fef-77b6-4c89-928e-a95cc8095718
  • https://lup.lub.lu.se/record/1444033URI
  • https://doi.org/10.1002/ccd.21865DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • Objectives: To investigate the safety of a novel percutaneous circulatory support device during high-risk percutaneous coronary intervention (PCI). Background: The Reitan catheter pump (RCP) consists of a catheter-mounted pump-head with a foldable propeller and surrounding cage. Positioned in the descending aorta the pump creates a pressure gradient, reducing afterload and enhancing organ perfusion. Methods: Ten consecutive patients requiring circulatory support underwent PCI; mean age 71 +/- 9; LVEF 34% +/- 11%; jeopardy score 8 +/- 2.3. The RCP was inserted via the femoral artery. Hemostasis was achieved using Perclose (TM) sutures. PCI was performed via the radial artery. Outcomes included in-hospital death, MI, stroke, and vascular injury. Hemoglobin (Hb), free plasma Hb (fHb), platelets, and creatinine (cre) were measured pre PCI and post RCP removal. Results: The pump was inserted and operated successfully in 9/10 cases (median 79 min). Propeller rotation at 10,444 +/- 1,424 rpm maintained an aortic gradient of 9.8 +/- 2 mm Hg. Although fHb increased, there was no significant hemolysis (4.7 +/- 2.4 mg/dI pre vs. 11.9 +/- 10.5 post, P = 0.04, reference 20 mg/dI). Platelets were unchanged (pre 257 +/- 74 x 10(9) vs. 245 +/- 63, P = NS). Renal function improved (cre pre 110 +/- 27 mu mol/l vs. 99 +/- 28, P = 0.004). The RCP was not used in one patient following femoral introducer sheath related aortic dissection. All PCI procedures were successful with no deaths or strokes, one MI, and no vascular complications following pump removal. Conclusions: The RCP can be used safely in high-risk PCI patients. This device may be an alternative to other percutaneous systems when substantial cardiac support is needed. (C) 2009 Wiley-Liss, Inc.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Reitan, ÖyvindLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)kard-ore (author)
  • Keeble, Thomas (author)
  • Dixon, Kerry (author)
  • Rothman, Martin T. (author)
  • KardiologiSektion II (creator_code:org_t)

Related titles

  • In:Catheterization and Cardiovascular Interventions: Wiley73:7, s. 859-8651522-19461522-726X

Internet link

Find in a library

To the university's database

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist

Find more in SwePub

By the author/editor
Smith, Elliot J.
Reitan, Öyvind
Keeble, Thomas
Dixon, Kerry
Rothman, Martin ...
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Cardiac and Card ...
Articles in the publication
Catheterization ...
By the university
Lund University

Search outside SwePub

Wikipedia about the author:
Elliot_J_Smith
Smith, Elliot J.
en

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view