Resuscitation
Volume 81, Issue 4 , Pages 493-497 , April 2010

Coronary blood flow and perfusion pressure during coronary angiography in patients with ongoing mechanical chest compression: A report on 6 cases

  • Alf Inge Larsen

      Affiliations

    • Stavanger University Hospital, Department of Cardiology, Stavanger, Norway
    • University of Bergen, Institute of Internal Medicine, Norway
    • Corresponding Author InformationCorresponding author at: University of Bergen, Division of Cardiology, Stavanger University Hospital, N-4001 Stavanger, Norway. Tel.: +47 51518000; fax: +47 51519905.
  • ,
  • Åshild Hjørnevik

      Affiliations

    • Stavanger University Hospital, Department of Cardiology, Stavanger, Norway
  • ,
  • Vernon Bonarjee

      Affiliations

    • Stavanger University Hospital, Department of Cardiology, Stavanger, Norway
    • University of Bergen, Institute of Internal Medicine, Norway
  • ,
  • Ståle Barvik

      Affiliations

    • Stavanger University Hospital, Department of Cardiology, Stavanger, Norway
  • ,
  • Tor Melberg

      Affiliations

    • Stavanger University Hospital, Department of Cardiology, Stavanger, Norway
    • University of Bergen, Institute of Internal Medicine, Norway
  • ,
  • Dennis Winston Nilsen

      Affiliations

    • Stavanger University Hospital, Department of Cardiology, Stavanger, Norway
    • University of Bergen, Institute of Internal Medicine, Norway

Received 28 October 2009 ,Revised 31 January 2010 ,Accepted 2 February 2010.

References 

  1. Steen S, Sjoberg T, Olsson P, Young M. Treatment of out-of-hospital cardiac arrest with LUCAS, a new device for automatic mechanical compression and active decompression resuscitation. Resuscitation. 2005;67:25–30
  2. Nielsen N, Sandhall L, Schersten F, Friberg H, Olsson SE. Successful resuscitation with mechanical CPR, therapeutic hypothermia and coronary intervention during manual CPR after out-of-hospital cardiac arrest. Resuscitation. 2005;65:111–113
  3. Larsen AI, Hjørnevik Å, Ellingsen CL, Nilsen DWT. Cardiac arrest with continuous mechanical chest compression during percutaneous coronary intervention. A report on the use of the LUCAS device. Resuscitation. 2007;75:454–459
  4. Rubertsson S, Karlsten R. Increased cortical cerebral blood flow with LUCAS; a new device for mechanical chest compressions compared to standard external compressions during experimental cardiopulmonary resuscitation. Resuscitation. 2005;65:357–363
  5. Eftestøl T, Sunde K, Steen PA. Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest. Circulation. 2002;105:2270–2273
  6. Nolan JP, Deakin CD, Soar J, Böttiger BW, Smith G. European Resuscitation Council guidelines for resuscitation 2005. Section 4. Adult advanced life support. Resuscitation. 2005;67(Suppl. 1):S39–S86
  7. Paradis NA, Martin GB, Rivers EP, et al. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. JAMA. 1990;263:1106–1113
  8. TIMI Study Group . The thrombolysis in myocardial infarction (TIMI) trial. N Engl J Med. 1985;312:932–936
  9. Vogt A, von Essen R, Tebbe U, Feuerer W, Appel KF, Neuhaus KL. Impact of early perfusion status of the infarct-related artery on short-term mortality after thrombolysis for acute myocardial infarction: retrospective analysis of four German multicenter studies. J Am Coll Cardiol. 1993;21:1391–1395
  10. Steen S, Liao Q, Pierre L, Paskevicius A, Sjoberg T. The critical importance of minimal delay between chest compressions and subsequent defibrillation: a haemodynamic explanation. Resuscitation. 2003;58:249–258
  11. Timerman S, Cardoso LF, Ramires JA, Halperin H. Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest. Resuscitation. 2004;61:273–280
  12. Grogaard HK, Wik L, Eriksen M, Brekke M, Sunde K. Continuous mechanical chest compressions during cardiac arrest to facilitate restoration of coronary circulation with percutaneous coronary intervention. J Am Coll Cardiol. 2007;50:1093–1094
  13. Kern KB, Hilwig R, Ewy GA. Retrograde coronary blood flow during cardiopulmonary resuscitation in swine:intracoronary Doppler evaluation. Am Heart J. 1994;128:490–499
  14. Larsen AI, Hjørnevik Å, Nilsen DWT. Long lasting cardiopulmonary resuscitation with mechanical chest compression device during percutaneous coronary intervention may be associated with decreased diastolic coronary blood flow in the left anterior descending artery. 2 Case reports on the use of the LUCAS pneumatic chest compression device during coronary intervention. Eur Intervent. 2007;9:(website)
  15. Nelson GS, Sayed-Ahmed EY, Gibbons Kroeker CA, et al. Compression of interventricular septum during right ventricular pressure loading. Am J Physiol Heart Circ Physiol. 2001;280:H2639–H2648
  16. Kloner RA, Rude RE, Carlson N, Maroko PR, DeBoer LW, Braunwald E. Ultrastructural evidence of microvascular damage and myocardial cell injury after coronary artery occlusion: which comes first?. Circulation. 1980;62:945–952
  17. Ørn S, Manhenke C, Greve OJ, et al. Microvascular obstruction is a major determinant of infarct healing and subsequent left ventricular remodelling following primary percutaneous coronary intervention. Eur Heart J. 2009;30:1978–1985
  18. Klouche K, Weil MH, Sun S, et al. Evolution of the stone heart after prolonged cardiac arrest. Chest. 2002;122:1006–1011
  19. Kingsley PB, Sako EY, Yang MQ, et al. Ischemic contracture begins when anaerobic glycolysis stops: a 31P-NMR study of isolated rat hearts. Am J Physiol. 1991;261:H469–H478
  20. Johnson BA, Weil MH. Redefining ischemia due to circulatory failure as dual defects of oxygen deficits and of carbon dioxide excesses. Crit Care Med. 1991;11:1432–1438

 A Spanish translated version of the abstract of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2010.02.002.

PII: S0300-9572(10)00076-6

doi: 10.1016/j.resuscitation.2010.02.002

Resuscitation
Volume 81, Issue 4 , Pages 493-497 , April 2010