Mechanical chest compressions in the coronary catheterization laboratory to facilitate coronary intervention and survival in patients requiring prolonged resuscitation efforts

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Henrik WagnerGoran K Olivecrona

Abstract

Resuscitation after cardiac arrest (CA) in the catheterization laboratory (cath-lab) using mechanical chest compressions (CC) during simultaneous percutaneous coronary intervention (PCI) is a strong recommendation in the 2015 European Resuscitation Council (ERC) guidelines. This study aimed at re-evaluating survival to hospital discharge and assess long term outcome in this patient population. Patients presenting at the cath lab with spontaneous circulation, suffering CA and requiring prolonged mechanical CC during cath lab procedures between 2009 and 2013 were included. Circumstances leading to CA, resuscitation parameters and outcomes were evaluated within this cohort. For comparison, patients needing prolonged manual CC in the cath lab in the pre-mechanical CC era were evaluated. Six-month and one year survival with a mechanical CC treatment strategy from 2004 to 2013 was also evaluated. Thirty-two patients were included between 2009 and 2013 (24 ST-elevation myocardial infarction (STEMI), 4 non-STEMI, 2 planned PCI, 1 angiogram and 1 intra-aortic counter pulsation balloon pump insertion). Twenty were in cardiogenic shock prior to inclusion. Twenty-five were successfully treated with PCI. Median mechanical CC duration for th...Continue Reading

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Feb 15, 2001·JAMA : the Journal of the American Medical Association·J S HochmanUNKNOWN SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock
Aug 22, 2003·The New England Journal of Medicine·Henning R AndersenUNKNOWN DANAMI-2 Investigators
May 12, 2004·Resuscitation·Katja Juvan AzmanMarko Noc
Jul 3, 2009·The New England Journal of Medicine·William J EhlenbachRenee D Stapleton
May 5, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Matthias ArltMichael Hilker
May 19, 2012·Resuscitation·Christian WallmullerFritz Sterz
Nov 16, 2012·The New England Journal of Medicine·Saket GirotraUNKNOWN American Heart Association Get with the Guidelines–Resuscitation Investigators
Oct 29, 2013·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Naoyoshi AoyamaTohru Izumi
Jan 22, 2014·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Sa'ar MinhaRon Waksman
Apr 22, 2014·Resuscitation·Jerry P NolanUNKNOWN National Cardiac Arrest Audit
Oct 20, 2015·Resuscitation·Anatolij TruhlářUNKNOWN Cardiac arrest in special circumstances section Collaborators

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Citations

May 18, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Preethi WilliamKarl B Kern
Jan 1, 2020·The Ultrasound Journal·Laila HusseinTarik Al-Janabi
Aug 18, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jan Bělohlávek, Tomáš Kovárník
May 31, 2018·Critical Care : the Official Journal of the Critical Care Forum·Kurtis PooleGavin D Perkins
Nov 25, 2019·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Francis R JoshiErik Jørgensen
Jun 1, 2021·Interventional Cardiology Clinics·Marinos KosmopoulosDemetris Yannopoulos
Oct 28, 2021·Praxis·Luca OechslinChristophe Wyss

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Methods Mentioned

BETA
dissection
medical procedure
X-ray

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