The final nail in the coffin for immediate catheterization for refractory cardiac arrest with ongoing chest compressions

Nestor Mercado; James C Blankenship

doi:10.1002/ccd.29199

The final nail in the coffin for immediate catheterization for refractory cardiac arrest with ongoing chest compressions

Catheter Cardiovasc Interv. 2020 Sep 1;96(3):517-518. doi: 10.1002/ccd.29199.

Authors

Nestor Mercado¹, James C Blankenship¹

Affiliation

¹ Division of Cardiology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.

PMID: 32935943
DOI: 10.1002/ccd.29199

Abstract

In a cohort of 219 patients with out of hospital cardiac arrest, survival correlated with age, initial shockable rhythm, recovery of spontaneous circulation (ROSC) before starting catheterization, and initial pH. Mortality was 98% in patients who underwent catheterization before ROSC. Early studies of emergency extra-corporeal membrane oxygenation life support combined with hypothermia, and coronary intervention, suggest this "hyper-invasive" strategy may offer significant improvement in outcomes compared to conventional strategies employed in this study.

Publication types

Editorial
Comment

MeSH terms

Cardiopulmonary Resuscitation*
Catheterization
Coronary Angiography
Humans
Out-of-Hospital Cardiac Arrest* / diagnosis
Out-of-Hospital Cardiac Arrest* / therapy
Treatment Outcome