Peking University People’s Hospital Completes the First Case of Extracorporeal Membrane Oxygenation + Interventional Treatment_Peking University People's Hospital

Cardiology | Peking University People’s Hospital Completes the First Case of Extracorporeal Membrane Oxygenation + Interventional Treatment

2023-05-09

In April 2023, Mr. Li, a 65-year-old patient, visited the emergency department of Peking University People’s Hospital. He was preliminarily diagnosed with severe heart failure. Further examination revealed severe myocardial ischemia and significant stenosis in all three coronary arteries. The patient also had severe renal dysfunction, electrolyte imbalance, hepatic impairment, pulmonary infection, pleural effusion, hypoproteinemia, and anemia.

Professor Liu Jian, Vice Director of the Department of Cardiology, organized a multidisciplinary diagnosis and treatment, involving experts from the department of cardiac surgery, the department of cardiology, the department of anesthesiology, and the department of nephrology. They collectively formulated a comprehensive surgical plan: “coronary angiography + complex percutaneous coronary intervention (PCI) + transcatheter aortic valve implantation (TAVI), with the assistance of extracorporeal membrane oxygenation (ECMO) under general anesthesia”. The surgical timing was carefully arranged and sufficient emergency preparedness and response plans were made: using ECMO to reduce the patient’s cardiopulmonary burden and simultaneously preparing bedside blood filtration measures to ensure patient’s safety.

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The surgical team first reopened the left anterior descending artery and then performed stent implantation in all three coronary arteries. The entire coronary intervention procedure took only 37 minutes! This significantly shortened the time required for subsequent treatment and ensured adequate blood supply to the coronary arteries. Subsequently, they proceeded with the planned transcatheter aortic valve implantation procedure. Immediate postoperative echocardiography and angiographic examinations showed excellent outcome: successful valve implantation without paravalvular leakage, rapid improvement in transvalvular pressure, and no atrioventricular conduction block. The surgery was successfully completed!

“How complex and critical patient’s condition is and challenging the surgery is! Thanks to the mutual support and cooperation of the MDT team, meticulous preoperative preparations, and close collaboration in the operation, we were able to reignite the flame of life,” said Professor Liu Jian.

Peking University People’s Hospital has established a patient-centered MDT collaboration mode to overcome difficult and critical cases, to break down disciplinary barriers, to tailor optimal treatment plans for patients, and to create one miracle after another!

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Cardiology | Peking University People’s Hospital Completes the First Case of Extracorporeal Membrane Oxygenation + Interventional Treatment