A CONTEMPORARY REVIEW OF EXTRACORPOREAL MEMBRANE OXYGENATION FOR CARDIAC ARRESTS IN THE CARDIAC CATHETERIZATION LABORATORY

摘要

BACKGROUND: Patients who sustain refractory in-hospital cardiac arrest (IHCA) with severe cardiopulmonary compromise in the cardiac catheterization laboratory have an extremely low survival. Despite early revascularization to infarct-related coronary artery, mortality rates vary between 80-90%. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) can be lifesaving and is increasingly used in patients with reversible conditions who sustain refractory cardiac arrest or profound cardiogenic shock.