• Tomoki Doi and Naoto Morimura.
• Department of Emergency Medicine, Yokohama City University School of Medicine.
• Nippon Rinsho. 2011 Apr 1;69(4):638-41.

AbstractThe percutaneous cardiopulmonary support (PCPS) allows maintaining the patient's cardiac and pulmonary status with low cardiac or pulmonary performance due to acute myocardial infarction, pulmonary thromboembolism, postoperative phase of great blood vessels/open heart surgery or percutaneous coronary intervention, and so on. This system consists of a centrifugal pump with its control system, membrane oxygenator, measure devices for blood flow and pressure and a heating system for temperature conditioning of blood. The potential effectiveness is suggested using PCPS for cardiopulmonary resuscitation(CPR), so called extracorporeal cardiopulmonary resuscitation(ECPR). The single center studies suggesting the utility of ECPR appear, but ECPR is contents to have possibilities to improve prognosis in limited adaptation because there is not yet enough evidence in CoSTR 2010 by ILCOR. However, multicenter study about the utility of ECPR used PCPS for the out-of-hospital cardiac arrest(Study of Advanced life support for Ventricular fibrillation with Extracorporeal circulation in Japan: SAVE-J) is started in April 2007, and it is said that ECPR may improve neurological outcome comparing with that of the conventional CPR by the interim report. Further studies will determine its efficacy and adequate criteria.

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