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在直接经皮冠状动脉介入治疗期间，机械胸外按压与主动脉内球囊反搏联合用于难治性心室颤动

Mechanical Chest Compressions and Intra-Aortic Balloon Pump Combination for Refractory Ventricular Fibrillation During Primary PCI.

作者信息

Buckley Anthony J, O'Connor Cormac, Fitzgerald Sean, Hennessy Terence, Kiernan Thomas

机构信息

Department of Cardiology, University Hospital Limerick, Limerick, Ireland.

Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland.

出版信息

JACC Case Rep. 2022 Mar 16;4(6):364-369. doi: 10.1016/j.jaccas.2022.01.018.

DOI:10.1016/j.jaccas.2022.01.018
PMID:35495556
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9040123/
Abstract

This case highlights the successful resuscitation of a 43-year-old man with ST-segment elevation myocardial infarction and refractory ventricular fibrillation by using a combination of mechanical chest compressions and intra-aortic balloon pump insertion. This bailout strategy facilitated primary multivessel percutaneous coronary intervention in a center without on-site extracorporeal membrane oxygenation. ().

摘要

本病例突出了通过机械胸外按压和主动脉内球囊泵置入相结合的方法，成功复苏一名患有ST段抬高型心肌梗死和难治性室颤的43岁男性。这种补救策略在一个没有现场体外膜肺氧合的中心促进了多支血管的急诊经皮冠状动脉介入治疗。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/2a4726840046/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/e808ce99125e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/7ef426e21b4b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/2e8264d2d82b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/67627607c851/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/40bcb8791cfd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/7a1f1fc2945c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/a1dfdec2a9d4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/5582144fefa9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/0951ff2c43be/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/2a4726840046/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/e808ce99125e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/7ef426e21b4b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/2e8264d2d82b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/67627607c851/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/40bcb8791cfd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/7a1f1fc2945c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/a1dfdec2a9d4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/5582144fefa9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/0951ff2c43be/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b0/9040123/2a4726840046/gr9.jpg

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本文引用的文献

1
LUCAS II Device for Cardiopulmonary Resuscitation in a Nonselective Out-of-Hospital Cardiac Arrest Population Leads to Worse 30-Day Survival Rate Than Manual Chest Compressions.非选择性院外心脏骤停人群中使用 LUCAS II 装置进行心肺复苏的 30 天生存率较徒手胸外按压差。
J Emerg Med. 2020 Nov;59(5):673-679. doi: 10.1016/j.jemermed.2020.06.022. Epub 2020 Aug 5.
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One-Year Outcomes after PCI Strategies in Cardiogenic Shock.心源休克患者经皮冠状动脉介入治疗策略的一年预后
N Engl J Med. 2018 Nov 1;379(18):1699-1710. doi: 10.1056/NEJMoa1808788. Epub 2018 Aug 25.
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PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock.
急性心肌梗死合并心原性休克患者的 PCI 策略。
N Engl J Med. 2017 Dec 21;377(25):2419-2432. doi: 10.1056/NEJMoa1710261. Epub 2017 Oct 30.
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Extracorporeal life support during cardiac arrest and cardiogenic shock: a systematic review and meta-analysis.心脏骤停和心源性休克期间的体外生命支持：一项系统评价和荟萃分析。
Intensive Care Med. 2016 Dec;42(12):1922-1934. doi: 10.1007/s00134-016-4536-8. Epub 2016 Sep 19.
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The risk versus benefit of LUCAS: is it worth it?卢卡斯心肺复苏系统（LUCAS）的风险与益处：它值得吗？
Anesthesiology. 2014 Apr;120(4):797-8. doi: 10.1097/ALN.0000000000000146.