@article{oai:niigata-u.repo.nii.ac.jp:00019538, author = {小田, 弘隆 and 曽我, 悟 and 田辺, 直仁 and 三井田, 努 and 戸枝, 哲郎 and 樋熊, 紀雄}, issue = {2}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Feb}, note = {We experienced 5 patients whom percutaneous transluminal coronary angioplasty (PTCA) underwent using percutaneous cardiopulmonary bypass support (PCPS):3 patients with angina pectoris were elective prophylactic support, and 2 patients with acute myocardial infarction had hemodynamic collapse in catheterization laboratory or CCU room so that PTCA were performed under emergency PCPS. In patients with elective PCPS-supported PTCA, one had severe impaired left ventricular function (ejection fraction was 19%). Two had prior coronary bypass surgery. One had 3-vessel disease with 1 vessel ooclusion, one had protected left main trunk (LMT) disease and 2-vessel disease with one occlusion, and the other had nonprotected LMT disease. In all of three, the angioplasty were successful without complication. In two with collapse due to acute myocardial infarction, the occlusive lesions located in LMT and the angioplasty gained angiographical success. One had good clinical course in hospital and discharged with state of NYHA II after one month. The another one died within one day due to severe left heart failure. Prophylactic PCPS provides hemodynamic stability when PTCA undergoes high risk patients in whom vessel closure will develop hemodynamic collapse. Emergency PCPS and revascularization has possibility to rescue patients with collapse. However, ideal indication of PCPS-supported PTCA is not still decided.}, pages = {91--100}, title = {1) 経皮的心肺補助(PCPS)を用いたsupported PTCA(シンポジウム 血管内手術 : 各科領域における現状, 第483回新潟医学会)}, volume = {108}, year = {1994} }