Usefulness of percutaneous cardiopulmonary bypass support in patients with difficulties in weaning from cardiopulmonary bypass

A percutaneous cardiopulmonary support system (PCPS) was used in 12 patients (mean age 68 years) between March 1991 and June 1996 for difficulties weaning from ordinary cardiopulmonary bypass. Cardiac procedures preceding the placement of the PCPS were coronary artery bypass grafting in 8 patients, aortic valve replacement in 1, double valve replacement in 1, and ascending aortic replacement for acute aortic dissection in 1. These procedures were elective in 6 patients and emergent in 6. Intraaortic balloon pumps were used in all cases except in two cases with atherosclerotic occlusive disease. Nine (75%) of the patients were weaned from PCPS, and seven (58%) were discharged. There were no complications due to the placement of PCPS except for three episodes of lower leg ischemia. We conclude that PCPS is useful in addressing difficulties in weaning from ordinary cardiopulmonary bypass and there should be further discussion about the limitations of PCPS in cases of severe circulatory failure.