All the authors had a role in preparing and writing the manuscript.
Coronary Artery Disease
Catheterization laboratory activation during mechanical cardiopulmonary resuscitation: When should we say “No?”
Article first published online: 23 SEP 2013
Copyright © 2013 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 83, Issue 1, pages 58–64, 1 January 2014
How to Cite
Kalra, A., Maharaj, V., Johannsen, R. A. and Hollenberg, S. M. (2014), Catheterization laboratory activation during mechanical cardiopulmonary resuscitation: When should we say “No?”. Cathet. Cardiovasc. Intervent., 83: 58–64. doi: 10.1002/ccd.25167
Conflict of interest: Nothing to report.
- Issue published online: 18 DEC 2013
- Article first published online: 23 SEP 2013
- Accepted manuscript online: 27 AUG 2013 11:35AM EST
- Manuscript Accepted: 22 AUG 2013
- Manuscript Received: 23 JUL 2013
- mechanical chest compression;
- catheterization laboratory activation
Sudden cardiac arrest is a devastating manifestation of coronary artery disease and a leading cause of death in the western world. Early and effective cardiopulmonary resuscitation is essential for return of spontaneous circulation. If manual compression is ongoing and return of spontaneous circulation has not been achieved, the prognosis is poor, and the logistics of performing cardiac catheterization are forbidding. With the advent of mechanical chest compression, however, this clinical scenario has become much more complex. Coronary angiography and percutaneous coronary intervention, although still cumbersome, has been established as feasible with ongoing mechanical chest compression. This article discusses the strengths and pitfalls of mechanical cardiopulmonary resuscitation, our experience, and current evidence behind activation of the catheterization laboratory with ongoing mechanical chest compression. © 2013 Wiley Periodicals, Inc.