Prolonged resuscitation in the cath-lab and long term follow-up

In 2010 we published our initial experience, using mechanical CPR (MCC) for prolonged resuscitation efforts during simultaneous PCI treatment, where we presented a survival rate of 25% in this patient group. In this abstract we report the results of the following 4 years of patients admitted to the cath-lab with maintained circulationwho sometime during the intervention suffered cardiac arrest andwere inneedof prolonged resuscitation effortswithMCC using the LUCASTM device (Physio-Control Inc./Jolife AB Sweden) during simultaneous PCI. This also includes a long term follow up of all patients discharged from the cath-lab fromboth time periods. In the second time period (April 2009–April 2013) 32 patients were included (22 STEMI, 4 Non-STEMI, 1 LBBB, 2 planned PCI, 1 angiogram, 1 stent occlusion, 1 IABP) where 37.5% were women and the median (range) age was 71 years (33–96). Twenty-one patients were in cardiogenic shock prior to the arrest. Twentyfour of the 30 PCIs attempted were successful. Twenty five PCI interventions were performed duringMCC. The presenting rhythm and survival distribution (rhythm=n (survival =n))were: VT/VF=5 (4), PEA=13 (4), Asystole =5 (3) and Bradycardia/Severe hypotension=9 (4) in patients discharged from the cath-lab with ROSC. The presenting rhythm and survival distribution were: VT/VF=5 (2), PEA=13 (2), Asystole =5 (2) and Bradycardia/Severe hypoten-