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Venoarterial Extracorporeal Membrane Oxygenation for “Protected” Percutaneous Coronary Intervention Secondary to Refractory Polymorphic Ventricular Tachycardia and Cardiac Arrest

Year: 2024

Type: article

Abstract: ABSTRACT: We present a case of cardiogenic shock secondary to refractory polymorphic ventricular tachycardia associated with coronary ischemia resulting in cardiac arrest. Following the return of spontaneous circulation, the patient was cannulated for peripheral venoarterial extracorporeal membrane oxygenation (V-A ECMO) in anticipation of high-risk "protected" percutaneous coronary intervention (PCI). Under full V-A ECMO support, inotropes and vasopressors were weaned off, and the patient underwent uneventful PCI of left circumflex and obtuse marginal lesions. After 48 hours, the patient was decannulated and could be discharged home alive 16 days after his initial cardiac arrest.

Source: Annals of Cardiac Anaesthesia

DOI: 10.4103/aca.aca_136_23

Authors: Jordan D. Phillips, John R. Spratt, Calvin Y. Choi, Salvatore T. Scali, Marc O. Maybauer

Institutions: University of Florida, University of Florida Health, Philipps University of Marburg, The University of Queensland, Prince Charles Hospital

Language: English

Topic: Mechanical Circulatory Support Devices

Subfield: Biomedical Engineering

Field: Engineering

Domain: Physical Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4400318167

FWCI: 0.22

Cites: 7

Cited by: 2

Related to: 10