Cardiac arrest in the catheterisation laboratory: a 5-year experience of using mechanical chest compressions to facilitate PCI during prolonged resuscitation efforts.

摘要: Abstract Purpose Lengthy resuscitations in the catheterisation laboratory carry extremely high rates of mortality because it is essentially impossible to perform effective chest compressions during percutaneous coronary intervention (PCI). The purpose this study was evaluate use a mechanical compression device, LUCAS™, laboratory, patients who suffered circulatory arrest requiring prolonged resuscitation. Materials and methods population comprised arrived alive then required at some time angiogram, PCI or pericardiocentesis between 2004 2008 Lund University Hospital. This retrospective registry analysis. Results During period, total 3058 were treated with for ST-elevation myocardial infarction (STEMI) whom 118 cardiogenic shock 81 defibrillations. LUCAS™ used 43 (33 STEMI, 7 non-ST-elevation (NSTEMI), 2 elective PCIs 1 patient tamponade). Five had tamponade due rupture prior that revealed start PCI, all five died. Of remaining 38 patients, underwent successful 36 PCI. Eleven these discharged good neurological condition. Conclusion allows continued despite ongoing cardiac artificially sustained circulation. It unlikely few, if any, would have survived without laboratory.