Emergency Cardiac Support With Extracorporeal Membrane Oxygenation for Cardiac Arrest Marysia S. Tweet, MD, Gregory J. Schears, MD, Andrew Cassar, MD,

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Presentation transcript:

Emergency Cardiac Support With Extracorporeal Membrane Oxygenation for Cardiac Arrest Marysia S. Tweet, MD, Gregory J. Schears, MD, Andrew Cassar, MD, Seth H. Sheldon, MD, Brian P. McGlinch, MD, Gurpreet S. Sandhu, MD, PhD Mayo Clinic Proceedings Volume 88, Issue 7, Pages 761-765 (July 2013) DOI: 10.1016/j.mayocp.2013.04.015 Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 A, Electrocardiogram (ECG) at presentation showing sinus tachycardia with ST elevation in leads V3 through V6, II, III, and aVF suggestive of anterior, anterolateral, and inferior myocardial injury. B, An ECG 4 minutes after the initial ECG, showing rhythm instability and ventricular tachycardia. Mayo Clinic Proceedings 2013 88, 761-765DOI: (10.1016/j.mayocp.2013.04.015) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Right anterior oblique caudal view of the left coronary system with thrombus noted in the distal left main artery (arrow), and an occluded left anterior descending artery and thrombus in the obtuse marginal branch of the circumflex artery (hatched arrow). Mayo Clinic Proceedings 2013 88, 761-765DOI: (10.1016/j.mayocp.2013.04.015) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Right anterior oblique cranial view of the left coronary system with an intracoronary wire placed in the previously occluded left anterior descending artery and improved perfusion. Mayo Clinic Proceedings 2013 88, 761-765DOI: (10.1016/j.mayocp.2013.04.015) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Timeline of events after the patient's arrival to the catheterization laboratory (cath lab). CPR = cardiopulmonary resuscitation; ECMO = extracorporeal membrane oxygenation; IABP = intra-aortic balloon pump. Mayo Clinic Proceedings 2013 88, 761-765DOI: (10.1016/j.mayocp.2013.04.015) Copyright © 2013 Mayo Foundation for Medical Education and Research Terms and Conditions