000			03251cam a2200325 a 4500
003			EG-GiCUC
008			180326s2017 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.09.Ph.D.2017.Ma.C
100	0		_aMahmoud Saad Abdellatif Nwar
245	1	0	_aComparative study between veno-arterial extracorporeal membrane oxygenation and intra-aortic balloon pump in patients with acute cardiogenic shock / _cMahmoud Saad Abdellatif Nwar ; Supervised Alia Abdelfattah , Akram Abdelbary , Mohamed Khaled
246	1	5	_aدراسة مقارنة بين الأكسدة الغشائية الوريدية {u٢٠١٣} الشريانية خارج الجسم والبالونة الأورطية فى مرضى الصدمة القلبية الحادة
260			_aCairo : _bMahmoud Saad Abdellatif Nwar , _c2017
300			_a147 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520			_aIntroduction:Despite improvements in supportive therapies andreperfusion strategies, the mortality rate remains unacceptably high in the setting of cardiogenic shock. Aim of work: comparison between medical treatment ,intra aortic balloon pump (IABP) and veno-arteria extra corporeal membrane oxygenation (VA ECMO)in management of cardiogenic shock. Methods: seventeen patients with acute cardiogenic shock was managed by different modalities medical treatment (42) patients, IABP (21) patients and VA ECMO (7) patents. APACHEII, SOFA was calculated to all patients and SAVE score for those on VA ECMO before initiation of the support and 24 hours after support. full laboratory profile ,chest X ray, echocardiography ,venous and arterial duplex was also done before and 24 hour after support.Percutaneous cannulation was done in all patients using single lumen cannu-lae, additional cannula was added when needed. Cardiohelp (Maquet, Germany) and Rotaflow)Maquet, Germany) ECMO consoles were used with centrifugal pump. ECMO circuits PLS for Rotaflow and HLS for Cardiohelp were changed when indicated. Results: VA ECMO was used in 4 patients with STEMI and cardiogenic shock one patient was stress induced cardiomyopathy and 2 patients with massive pulmonary embolism using of VA ECMO was associated with significant improvement in APACHEII and SOFA scores with subsequent improvement of the shock and significant improvement of tissue perfusion compared to medical treatment and IABP .However there was no significant difference in mortality among the three groups. Conclusion: VA ECMO may be helpful in the setting of profound acute cardiogenic shock in maintain organ perfusion and bridge to recovery or bridge to another modality of management such LVAD or heart transplantation
530			_aIssued also as CD
653		4	_aExtracorporeal membrane oxygenator support
653		4	_aIABP
653		4	_aProfound cardiogenic shock
700	0		_aAkram Abdelbary , _eSupervisor
700	0		_aAlia Abdelfattah , _eSupervisor
700	0		_aMohamed Khaled , _eSupervisor
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c65587 _d65587