Should We Emergently Revascularize Occluded Coronaries for Cardiac Arrest?

• DOI: 10.1161/circulationaha.111.067538
• Publication Date: 2012-08-17T03:07:56Z
• Authors: Eisuke Kagawa; Keigo Dote; Masaya Kato; Shota Sasaki; Yoshinori Nakano; Masato Kajikawa; Akifumi Higashi; Kiho Itakura; Akihiko Sera; Ichiro Inoue; Takuji Kawagoe; Masaharu Ishihara; Yuji Shimatani; Satoshi Kurisu
• Keywords: Extracorporeal cardiopulmonary resuscitation

Extracorporeal membrane oxygenation (ECMO) and percutaneous coronary intervention (PCI) may be useful in cardiopulmonary resuscitation. However, little is known about the combination of ECMO intra-arrest PCI. This study investigated efficacy rapid-response PCI patients with cardiac arrest complicated by acute syndrome who were unresponsive to conventional resuscitation.This multicenter cohort was conducted use database Hiroshima City, Japan. Between January 2004 May 2011, performed 86 CPR. The median age 63 years, 81% male. Emergency angiography 81 (94%), 61 (71%). rates return spontaneous heartbeat, 30-day survival, favorable neurological outcomes 88%, 29%, 24%, respectively. All received achieved heartbeat. In survived up day 30, rate out-of-hospital lower (58% versus 28%; P=0.01), higher (88% 70%; P=0.04), time interval from collapse initiation shorter (40 [25-51] 54 minutes [34-74 minutes]; P=0.002).Rapid-response plus feasible associated improved are On basis these findings, randomized studies needed.