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Catheterization laboratory activation during mechanical cardiopulmonary resuscitation: When should we say “No?”

Authors

  • Ankur Kalra MD,

    Corresponding author
    1. Department of Medicine, Section of Cardiology, Hennepin County Medical Center, Minneapolis, Minnesota
    • Correspondence to: A. Kalra, Department of Medicine, Section of Cardiology, Hennepin County Medical Center, 701 Park Ave S, O5, Minneapolis, MN 55415, USA. E-mail: ankur.kalra@hcmed.org

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  • Valmiki Maharaj BS,

    1. University of Minnesota Medical School, Minneapolis, Minnesota
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  • Ronald A. Johannsen MD,

    1. Department of Medicine, Section of Cardiology, Hennepin County Medical Center, Minneapolis, Minnesota
    2. University of Minnesota Medical School, Minneapolis, Minnesota
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  • Steven M. Hollenberg MD

    1. Department of Medicine, Section of Cardiology and Critical Care Medicine, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey
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  • All the authors had a role in preparing and writing the manuscript.

  • Conflict of interest: Nothing to report.

Abstract

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.

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