scholarly journals Extracorporeal membrane oxygenation after protracted ventricular fibrillation cardiac arrest: case report and discussion

CJEM ◽  
2015 ◽  
Vol 17 (2) ◽  
pp. 210-216 ◽  
Author(s):  
Riyad B. Abu-Laban ◽  
David Migneault ◽  
Meghan R. Grant ◽  
Vinay Dhingra ◽  
Anthony Fung ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Ventricular Fibrillation ◽  
Extracorporeal Membrane Oxygenation ◽  
Coronary Intervention ◽  
Artery Dissection ◽  
Coronary Artery Dissection ◽  
Membrane Oxygenation ◽  
Cardiorespiratory Function ◽  
Neurologic Sequelae

AbstractExtracorporeal membrane oxygenation (ECMO) is a method to provide temporary cardiac and respiratory support to critically ill patients. In recent years, the role of ECMO in emergency departments (EDs) for select adults has increased. We present the dramatic case of a 29-year-old man who was placed on venoarterial ECMO for cardiogenic shock and respiratory failure following collapse and protracted ventricular fibrillation cardiac arrest in our ED. Resuscitation efforts prior to ECMO commencement included 49 minutes of virtually continuous cardiopulmonary resuscitation (CPR), 11 defibrillations, administration of numerous medications, including a thrombolytic agent, while CPR was ongoing, percutaneous coronary intervention and stenting for a mid–left anterior descending coronary artery dissection and thrombotic occlusion, inotropic support, and intra-aortic balloon pump counterpulsation. Over the next 48 hours following ECMO commencement, the patient’s cardiorespiratory function rapidly improved, and he was discharged home 9 days after admission with no neurologic sequelae. The history, indications, and increasing role of ECMO in a range of conditions, including cardiac arrest, are reviewed.

scholarly journals Spontaneous, Postpartum Coronary Artery Dissection and Cardiogenic Shock with Extracorporeal Membrane Oxygenation Assisted Recovery in a 30-Year-Old Patient

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Kathleen E. Knapp ◽  
Ricardo A. Weis ◽  
Efrain I. Cubillo ◽  
Alyssa B. Chapital ◽  
Harish Ramakrishna
Keyword(s):  
Coronary Artery ◽  
Extracorporeal Membrane Oxygenation ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Artery Dissection ◽  
Coronary Artery Dissection ◽  
Coronary Syndrome ◽  
Membrane Oxygenation ◽  
Biventricular Failure ◽  
Va Ecmo

Coronary artery dissection is an infrequent cause of acute coronary syndrome in the general population. There is, however, a greater incidence of spontaneous coronary artery dissection (SCAD) in young women, especially in the peripartum period. However, the majority of cases have favorable outcomes with medical management or percutaneous coronary intervention; coronary artery bypass grafting (CABG) and transplantation are utilized in severe cases. This case is a one of a 30-year-old postpartum female with multivessel SCAD requiring CABG with subsequent biventricular failure and inability to wean from bypass. We believe this is the first reported case in which venoarterial extracorporeal membrane oxygenation (VA-ECMO) was used in the management of biventricular heart failure in a postpartum patient with SCAD.

scholarly journals Outcomes of Venoarterial Extracorporeal Membrane Oxygenation for Cardiac Arrest in Adult Patients in the United States

2021 ◽  
Author(s):  
George Gill ◽  
Jignesh K. Patel ◽  
Diego Casali ◽  
Georgina Rowe ◽  
Hongdao Meng ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Extracorporeal Membrane Oxygenation ◽  
Hospital Mortality ◽  
Coronary Intervention ◽  
The United States ◽  
Mortality Factors ◽  
Factors Associated ◽  
Predictors Of Mortality ◽  
Membrane Oxygenation ◽  
Nationally Representative

Background Factors associated with poor prognosis following receipt of extracorporeal membrane oxygenation (ECMO) in adults with cardiac arrest remain unclear. We aimed to identify predictors of mortality in adults with cardiac arrest receiving ECMO in a nationally representative sample. Methods and Results The US Healthcare Cost and Utilization Project's National Inpatient Sample was used to identify 782 adults hospitalized with cardiac arrest who received ECMO between 2006 and 2014. The primary outcome of interest was all‐cause in‐hospital mortality. Factors associated with mortality were analyzed using multivariable logistic regression. The overall in‐hospital mortality rate was 60.4% (n=472). Patients who died were older and more often men, of non‐White race, and with lower household income than those surviving to discharge. In the risk‐adjusted analysis, independent predictors of mortality included older age, male sex, lower annual income, absence of ventricular arrhythmia, absence of percutaneous coronary intervention, and presence of therapeutic hypothermia. Conclusions Demographic and therapeutic factors are independently associated with mortality in patients with cardiac arrest receiving ECMO. Identification of which patients with cardiac arrest may receive the utmost benefit from ECMO may aid with decision‐making regarding its implementation. Larger‐scale studies are warranted to assess the appropriate candidates for ECMO in cardiac arrest.

scholarly journals Role of Epinephrine and Extracorporeal Membrane Oxygenation in the Management of Ischemic Refractory Ventricular Fibrillation

2017 ◽  
Vol 2 (3) ◽  
pp. 244-253 ◽  
Author(s):  
Jason A. Bartos ◽  
Sebastian Voicu ◽  
Timothy R. Matsuura ◽  
Adamantios Tsangaris ◽  
Georgios Sideris ◽  
...  
Keyword(s):  
Ventricular Fibrillation ◽  
Extracorporeal Membrane Oxygenation ◽  
Membrane Oxygenation

scholarly journals Surviving refractory out-of-hospital ventricular fibrillation cardiac arrest: Critical care and extracorporeal membrane oxygenation management

Resuscitation ◽  
2018 ◽  
Vol 132 ◽  
pp. 47-55 ◽  
Author(s):  
Jason A. Bartos ◽  
Kathleen Carlson ◽  
Claire Carlson ◽  
Ganesh Raveendran ◽  
Ranjit John ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Ventricular Fibrillation ◽  
Extracorporeal Membrane Oxygenation ◽  
Membrane Oxygenation

scholarly journals Adverse prognostic factors for rescuing patients with acute myocardial infarction–induced cardiac arrest receiving percutaneous coronary intervention under extracorporeal membrane oxygenation

2021 ◽  
pp. 102490792199761
Author(s):  
Jianxi Ye
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Cardiac Arrest ◽  
Extracorporeal Membrane Oxygenation ◽  
Coronary Intervention ◽  
Membrane Oxygenation ◽  
Percutaneous Coronary ◽  
Induced Cardiac Arrest

Background: Acute myocardial infarction–induced cardiac arrest has high mortality rate. Objective: To investigate the risk factors of extracorporeal membrane oxygenation combined with percutaneous coronary intervention in rescuing acute myocardial infarction–induced cardiac arrest. Methods: Forty-three eligible patients were assigned into death and survival groups. Their general clinical data, treatment outcomes, and various indicators 24, 48, and 72 h after extracorporeal membrane oxygenation implantation were compared. The factors affecting clinical outcomes were determined by multivariate logistic regression analysis. A nomogram prediction model was constructed and validated. Results: After removing extracorporeal membrane oxygenation device, 19 patients recovered and 24 died (mortality rate: 55.81%). The two groups had different conventional cardiopulmonary resuscitation duration, number of diseased vessels, distribution of culprit vessel, time from cardiac arrest to extracorporeal membrane oxygenation implantation, length of stay in critical care unit, and mean arterial pressure 24 and 48 h after extracorporeal membrane oxygenation implantation ( p < 0.05). Left anterior descending as the culprit vessel, number of diseased vessels, conventional cardiopulmonary resuscitation duration, time from cardiac arrest to extracorporeal membrane oxygenation implantation, and mean arterial pressure 48 h after extracorporeal membrane oxygenation resuscitation were independent risk factors for death. The predicted mortality rate was 72.6%, and the actual concordance index (C-index) was 0.869. Such indices after internal and external validations were 0.861 and 0.848, respectively, suggesting a good concordance. Conclusion: Left anterior descending as the culprit vessel, number of diseased vessels, conventional cardiopulmonary resuscitation duration, time from cardiac arrest to extracorporeal membrane oxygenation implantation, and mean arterial pressure 48 h after extracorporeal membrane oxygenation resuscitation are independent risk factors for patients with acute myocardial infarction–induced cardiac arrest undergoing extracorporeal membrane oxygenation combined with percutaneous coronary intervention.

scholarly journals The role of extracorporeal membrane oxygenation in patients after irreversible cardiac arrest as potential organ donors

2017 ◽  
Vol 4 ◽  
pp. 253-257
Author(s):  
Tomasz Kłosiewicz ◽  
Mateusz Puślecki ◽  
Marcin Zieliński ◽  
Michał Mandecki ◽  
Marcin Ligowski ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Extracorporeal Membrane Oxygenation ◽  
Organ Donors ◽  
Membrane Oxygenation
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