Document Detail


Experimental and clinical use of ongoing mechanical cardiopulmonary resuscitation during angiography and percutaneous coronary intervention.
MedLine Citation:
PMID:  20449901     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Coronary heart disease is the most frequent cause of cardiac arrest. Return of spontaneous circulation is often not achieved during resuscitation due to the inability to restore coronary blood flow. OBJECTIVE: To review the literature with the aim of documenting if coronary angiography and subsequent percutaneous coronary intervention is feasible during continuous mechanical chest compressions. RESULTS: One experimental pig study, some case reports (of different size), and one recent abstract have documented the use of continuous mechanical chest compressions with the Lund University Cardiac Arrest System during angiographic procedures and subsequent percutaneous coronary intervention during cardiac arrest. If the arrest occurs in-hospital, especially during the angiographic procedure, the potential for successful outcome seems to be better. CONCLUSIONS: Coronary angiography and percutaneous coronary intervention is feasible during continuous mechanical chest compressions. This could be an alternative approach in cardiac arrest patients with suspected myocardial infarction who do not achieve return of spontaneous circulation with traditional resuscitation techniques.
Authors:
Kjetil Sunde
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care medicine     Volume:  36     ISSN:  1530-0293     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2010-05-07     Completed Date:  2010-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S405-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology and Institute for Experimental Medical Research, Ulleval University Hospital, Oslo, Norway. kjetil.sunde@medisin.uio.no
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary / methods*
Animals
Cardiopulmonary Resuscitation / methods*
Coronary Angiography / methods*
Coronary Circulation
Heart Arrest / physiopathology,  therapy*
Humans

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