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040			_aEG-GICUC _beng _cEG-GICUC _dEG-GICUC _erda
041	0		_aeng _beng _bara
049			_aDeposit
082	0	4	_a616.028
092			_a616.028 _221
097			_aPh.D
099			_aCai01.11.09.Ph.D.2022.Ha.U
100	0		_aHany Zakaria Mohamed, _epreparation.
245	1	4	_aThe use of veno-arterial extra corporeal membrane oxygenation for hemodynamics support during high-risk percutaneous coronary intervention _cby Hany Zakaria Mohamed ; Under supervision of Prof. Dr. Alia Hassan Abdel Fattah, Prof. Dr. Helmy Elghawaby, Prof. Dr. Akram Abdelbary, Prof. Dr. Wael Samy
246	1	5	_aاستخدام جهاز الاكسده الغشائي الخارجي وريدي شرياني لمساندة الوظائف الحيوية اثناء عمل قسطرة تداخليه للشرايين التاجية عالية الخطورة /
264		0	_c2022.
300			_a118 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (Ph.D)-Cairo University, 2023.
504			_aBibliography: pages 109-118.
520			_aThe study is designed to assess the impact of hemodynamic support by V-A ECMO during high-risk PCI, if it shows advantages to maintain perfusion and management of any complications during the procedure. Objectives: use of VA ECMO as a hemodynamic support for complete myocardial revascularization of high-risk patients. Subjects and methods: A prospective interventional study will be performed on patients with viable ischemic myocardium, syntax score>22, excluding scarred myocardium and refused CABG. Hemodynamic support will be done during elective high-risk PCI procedure by connecting patients on V-A ECMO (Fem-Fem configuration), compared to patients had high risk PCI without mechanical circulatory support. Group 1(Study group): 10 patients underwent high risk PCI on V-A ECMO support. Group 2(Control group): 10 patients underwent high risk PCI without V-A ECMO support. Results: A case-control study total of 20 patients were identified, 10 patients underwent high risk PCI on V-A ECMO support other group (Control group) 10 patients underwent high risk PCI without V-A ECMO support. Group 1: mean age 59, mean EF 30.90%, 5 diabetic, 6 hypertensive, 4 patients had LM lesion, average of 3.9 stents, 1 patient had VT during PCI, 6 patients needed vasopressors and inotropic support, 7 patients needed surgical decannulation, 3 patients used vascular closure device, 4 patients needed invasive mechanical ventilation during PCI, 8 patients had complete revascularization in one session, 10 patients were successfully weaned off V-A ECMO support just after PCI, average ECLS duration 2.5 hrs. all patients were successfully discharged home within 1 week. Conclusion: V-A ECMO showed beneficial supportive rule for hemodynamics during high-risk PCI, minimizing risks during procedure and maintaining perfusion, high volume studies are needed to confirm benefits over conventional treatment.
520			_aحالات القصور بالشرايين التاجيه المعقده و الدقيقه مع ضعف شديد بعضله القلب يجعل التدخل الجراحي و القسطره التداخليه عاليه الخطوره لهولاء المرضي , فأن هذه الدراسة تهدف الى دراسة الفوائد من استخدام جهاز الاكسجة الغشائية خارج الجسم وريدي شرياني لدعم ديناميكا الدم اثناء القيام بقسطرة تداخليه عالية الخطورة على الشرايين التاجية, تمت الدراسة بشكل استعادى لبيانات المرضى بمستشفيات جامعه القاهرة, تم تقسيم المرضى الى مجموعتين , تلقت المجموعه الاولى البروتوكول العلاجى المتبع طبقا لبروتوكولات وزارة الصحة المصرية و الارشادات العالمية و تم مقارنة النتائج بين المجموعتين
530			_aIssued also as CD
546			_aText in English and abstract in Arabic & English.
650		7	_aCritical Care _2qrmak
653		0	_aVeno-Arterial extracorporeal membrane oxygenation _aPercutaneous coronary intervention
700	0		_aAlia Hassan Abdel Fattah _ethesis advisor.
700	0		_aHelmy Elghawaby _ethesis advisor.
700	0		_aAkram Abdelbary _ethesis advisor.
700	0		_aWael Samy _ethesis advisor.
900			_b01-01-2022 _cAlia Hassan Abdel Fattah _cHelmy Elghawaby _cAkram Abdelbary _cWael Samy _dMuhammad Ashraf _dMustafa Ibrahim _UCairo University _FFaculty of Medicine _DDepartment of Critical Care Medicine
905			_aEman
942			_2ddc _cTH _e21 _n0
999			_c168885