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

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

doi:10.1016/j.jaccas.2022.01.018

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

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

Authors

Anthony J Buckley¹, Cormac O'Connor¹, Sean Fitzgerald², Terence Hennessy¹, Thomas Kiernan¹

Affiliations

¹ Department of Cardiology, University Hospital Limerick, Limerick, Ireland.
² Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland.

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. (Level of Difficulty: Advanced.).

Keywords: CPR, cardiopulmonary resuscitation; CTO, chronic total occlusion; DES, drug-eluting stent; ECG, electrocardiogram; ECMO, extracorporeal membrane oxygenation; LAD, left anterior descending coronary artery; LCx, left circumflex; PCI, percutaneous coronary intervention; RCA, right coronary artery; STEMI; STEMI, ST-segment elevation myocardial infarction; VF, ventricular fibrillation; cardiac arrest; mechanical CPR; percutaneous coronary intervention; ventricular fibrillation.

Publication types

Case Reports