Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Wiener klinische Wochenschrift 5/2015

01.12.2015 | short review

Intra-arrest percutaneous coronary intervention: a case series

verfasst von: MD, PhD Igor Balevski, MD Andrej Markota, MD Darinka Purg, MD Matej Bernhardt, MD, PhD Matej Strnad, MD Vojko Kanič, MD, PhD Andreja Sinkovič

Erschienen in: Wiener klinische Wochenschrift | Sonderheft 5/2015

Einloggen, um Zugang zu erhalten
share
TEILEN

Summary

In patients with refractory cardiac arrest presumably from acute coronary occlusion, primary percutaneous coronary intervention (PPCI) may provide an opportunity for revascularisation and, subsequently, return of spontaneous circulation. We present our experience from a 24/7 primary percutaneous coronary intervention centre serving a population of approximately 800,000 individuals. A retrospective analysis was performed in patients with cardiac arrest treated from July 2011 to January 2014. Inclusion criteria were cardiac arrest and emergency coronary angiography performed during on-going external cardiopulmonary resuscitation (CPR). Course of treatment was analysed to outline the reasons for poor survival. Eight patients met the inclusion criteria; six (75 %) were male, and the mean age was 63 ± 16 years. Revascularisation under continuous cardiopulmonary resuscitation was achieved in all eight patients. Sustained return of spontaneous circulation was achieved in two patients (25 %). Both patients had poor neurological outcome (cerebral performance category 4), and both died within 3 months. We identified total duration of cardiopulmonary resuscitation (90.5 ± 33.3 min), lack of prehospital mechanical cardiopulmonary resuscitation devices and lack of extra-corporeal life support devices as the most likely reasons contributing to poor survival.
Literatur
1.
Zurück zum Zitat Kagawa E, Dote K, Kato M, Sasaki S, Nakano Y, Kajikawa M, et al. Should we emergently revascularize occluded coronaries for cardiac arrest?: rapid-response extracorporeal membrane oxygenation and intra-arrest percutaneous coronary intervention. Circulation. 2012;126(13):1605–13. CrossRefPubMed Kagawa E, Dote K, Kato M, Sasaki S, Nakano Y, Kajikawa M, et al. Should we emergently revascularize occluded coronaries for cardiac arrest?: rapid-response extracorporeal membrane oxygenation and intra-arrest percutaneous coronary intervention. Circulation. 2012;126(13):1605–13. CrossRefPubMed
2.
Zurück zum Zitat Libungan B, Dworeck C, Omerovic E. Successful percutaneous coronary intervention during cardiac arrest with use of an automated chest compression device: a case report. Ther Clin Risk Manag. 2014;10:255–7. doi:10.2147/TCRM.S57953. CrossRefPubMedPubMedCentral Libungan B, Dworeck C, Omerovic E. Successful percutaneous coronary intervention during cardiac arrest with use of an automated chest compression device: a case report. Ther Clin Risk Manag. 2014;10:255–7. doi:10.2147/TCRM.S57953. CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Agostoni P, Cornelis K, Vermeersch P. Successful percutaneous treatment of an intraprocedural left main stent thrombosis with the support of an automatic mechanical chest compression device. Int J Cardiol. 2008;124(2):e19–21. CrossRefPubMed Agostoni P, Cornelis K, Vermeersch P. Successful percutaneous treatment of an intraprocedural left main stent thrombosis with the support of an automatic mechanical chest compression device. Int J Cardiol. 2008;124(2):e19–21. CrossRefPubMed
4.
Zurück zum Zitat Ali A, Hothi SS, Cox D. Coronary intervention on a moving target: a case report and procedural considerations. J Invasive Cardiol. 2013;25(8):E178–9. PubMed Ali A, Hothi SS, Cox D. Coronary intervention on a moving target: a case report and procedural considerations. J Invasive Cardiol. 2013;25(8):E178–9. PubMed
5.
Zurück zum Zitat Prosen G, Bombek M, Kanič V, Markota A, Dovč K. Percutaneous balloon aortic valvuloplasty: palliative treatment for inoperable patients? Acta Med Biotech. 2011;4(2):69–72. Prosen G, Bombek M, Kanič V, Markota A, Dovč K. Percutaneous balloon aortic valvuloplasty: palliative treatment for inoperable patients? Acta Med Biotech. 2011;4(2):69–72.
6.
Zurück zum Zitat Nolan JP, Soar J, Zideman DA, Biarent D, Bossaert LL, Deakin C, et al. European resuscitation council guidelines for resuscitation 2010. Section 4. Adult advanced life support. Resuscitation. 2010;81(10):1305–52. doi:10.1016/j.resuscitation.2010.08.017. CrossRefPubMed Nolan JP, Soar J, Zideman DA, Biarent D, Bossaert LL, Deakin C, et al. European resuscitation council guidelines for resuscitation 2010. Section 4. Adult advanced life support. Resuscitation. 2010;81(10):1305–52. doi:10.1016/j.resuscitation.2010.08.017. CrossRefPubMed
7.
Zurück zum Zitat TIMI Study Group. The thrombolysis in myocardial infarction (TIMI) trial: phase I findings. N Engl J Med. 1985;312:932–6. CrossRef TIMI Study Group. The thrombolysis in myocardial infarction (TIMI) trial: phase I findings. N Engl J Med. 1985;312:932–6. CrossRef
8.
Zurück zum Zitat Wagner H, Terkelsen CJ, Friberg H, Harnek J, Kern K, Lassen JF, et al. Cardiac arrest in the catheterisation laboratory: a 5-year experience of using mechanical chest compressions to facilitate PCI during prolonged resuscitation efforts. Resuscitation. 2010;81(4):383–7. doi:10.1016/j.resuscitation.2009.11.006. CrossRefPubMed Wagner H, Terkelsen CJ, Friberg H, Harnek J, Kern K, Lassen JF, et al. Cardiac arrest in the catheterisation laboratory: a 5-year experience of using mechanical chest compressions to facilitate PCI during prolonged resuscitation efforts. Resuscitation. 2010;81(4):383–7. doi:10.1016/j.resuscitation.2009.11.006. CrossRefPubMed
9.
Zurück zum Zitat Kunadian V, Bawamia B, Maznyczka A, Zaman A, Qiu W. Outcomes following primary percutaneous coronary intervention in the setting of cardiac arrest: a registry database study. Eur Heart J Acute Cardiovasc Care. 2014. Epub ahead of print. Kunadian V, Bawamia B, Maznyczka A, Zaman A, Qiu W. Outcomes following primary percutaneous coronary intervention in the setting of cardiac arrest: a registry database study. Eur Heart J Acute Cardiovasc Care. 2014. Epub ahead of print.
10.
Zurück zum Zitat Avalli L, Maggioni E, Formica F, Redaelli G, Migliari M, Scanziani M, et al. Favourable survival of in-hospital compared to out-of-hospital refractory cardiac arrest patients treated with extracorporeal membrane oxygenation: an Italian tertiary care centre experience. Resuscitation. 2012;83(5):579–83. doi:10.1016/j.resuscitation.2011.10.013. CrossRefPubMed Avalli L, Maggioni E, Formica F, Redaelli G, Migliari M, Scanziani M, et al. Favourable survival of in-hospital compared to out-of-hospital refractory cardiac arrest patients treated with extracorporeal membrane oxygenation: an Italian tertiary care centre experience. Resuscitation. 2012;83(5):579–83. doi:10.1016/j.resuscitation.2011.10.013. CrossRefPubMed
11.
Zurück zum Zitat Noc M, Fajadet J, Lassen JF, Kala P, MacCarthy P, Olivecrona GK, et al. Invasive coronary treatment strategies for out-of-hospital cardiac arrest: a consensus statement from the European association for percutaneous cardiovascular interventions (EAPCI)/Stent for life (SFL) groups. EuroIntervention. 2014;10(1):31–7. doi:10.4244/EIJV10I1A7. CrossRefPubMed Noc M, Fajadet J, Lassen JF, Kala P, MacCarthy P, Olivecrona GK, et al. Invasive coronary treatment strategies for out-of-hospital cardiac arrest: a consensus statement from the European association for percutaneous cardiovascular interventions (EAPCI)/Stent for life (SFL) groups. EuroIntervention. 2014;10(1):31–7. doi:10.4244/EIJV10I1A7. CrossRefPubMed
12.
Zurück zum Zitat Tunis SR, Stryer DB, Clancy CM. Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy. JAMA. 2003;290(12):1624–32. CrossRefPubMed Tunis SR, Stryer DB, Clancy CM. Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy. JAMA. 2003;290(12):1624–32. CrossRefPubMed
13.
Zurück zum Zitat Ong ME, Mackey KE, Zhang ZC, Tanaka H, Ma MH, Swor R, et al. Mechanical CPR devices compared to manual CPR during out-of-hospital cardiac arrest and ambulance transport: a systematic review. Scand J Trauma Resusc Emerg Med. 2012;20:39. doi:10.1186/1757-7241-20-39. CrossRefPubMedPubMedCentral Ong ME, Mackey KE, Zhang ZC, Tanaka H, Ma MH, Swor R, et al. Mechanical CPR devices compared to manual CPR during out-of-hospital cardiac arrest and ambulance transport: a systematic review. Scand J Trauma Resusc Emerg Med. 2012;20:39. doi:10.1186/1757-7241-20-39. CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Sunde K, Wik L, Steen PA. Quality of mechanical, manual standard and active compression-decompression CPR on the arrest site and during transport in a manikin model. Resuscitation. 1997;34(3):235–42. CrossRefPubMed Sunde K, Wik L, Steen PA. Quality of mechanical, manual standard and active compression-decompression CPR on the arrest site and during transport in a manikin model. Resuscitation. 1997;34(3):235–42. CrossRefPubMed
15.
Zurück zum Zitat Kern KB, Hilwig RW, Rhee KH, Berg RA. Myocardial dysfunction after resuscitation from cardiac arrest: an example of global myocardial stunning. J Am Coll Cardiol. 1996;28(1):232–40. CrossRefPubMed Kern KB, Hilwig RW, Rhee KH, Berg RA. Myocardial dysfunction after resuscitation from cardiac arrest: an example of global myocardial stunning. J Am Coll Cardiol. 1996;28(1):232–40. CrossRefPubMed
16.
Zurück zum Zitat Lazzeri C, Bernardo P, Sori A, Innocenti L, Stefano P, Peris A, et al. Venous-arterial extracorporeal membrane oxygenation for refractory cardiac arrest: a clinical challenge. Eur Heart J Acute Cardiovasc Care. 2013;2(2):118–26. doi:10.1177/2048872613484687. CrossRefPubMedPubMedCentral Lazzeri C, Bernardo P, Sori A, Innocenti L, Stefano P, Peris A, et al. Venous-arterial extracorporeal membrane oxygenation for refractory cardiac arrest: a clinical challenge. Eur Heart J Acute Cardiovasc Care. 2013;2(2):118–26. doi:10.1177/2048872613484687. CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Belohlavek J, Kucera K, Jarkovsky J, Franek O, Pokorna M, Danda J, et al. Hyperinvasive approach to out-of hospital cardiac arrest using mechanical chest compression device, prehospital intraarrest cooling, extracorporeal life support and early invasive assessment compared to standard of care. A randomized parallel groups comparative study proposal. “Prague OHCA study”. J Transl Med. 2012;10:163. doi:10.1186/1479-5876-10-163. CrossRefPubMedPubMedCentral Belohlavek J, Kucera K, Jarkovsky J, Franek O, Pokorna M, Danda J, et al. Hyperinvasive approach to out-of hospital cardiac arrest using mechanical chest compression device, prehospital intraarrest cooling, extracorporeal life support and early invasive assessment compared to standard of care. A randomized parallel groups comparative study proposal. “Prague OHCA study”. J Transl Med. 2012;10:163. doi:10.1186/1479-5876-10-163. CrossRefPubMedPubMedCentral
Metadaten
Titel
Intra-arrest percutaneous coronary intervention: a case series
verfasst von
MD, PhD Igor Balevski
MD Andrej Markota
MD Darinka Purg
MD Matej Bernhardt
MD, PhD Matej Strnad
MD Vojko Kanič
MD, PhD Andreja Sinkovič
Publikationsdatum
01.12.2015
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe Sonderheft 5/2015
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-015-0777-8