Background: Cardiac arrest in the Catheterization Lab is a rare and unique scenario that
is often logistically challenging. It often has dire prognosis especially in patients suffering from severe
pre-existing illnesses (high risk patient) such as acute myocardial infarction with cardiogenic
shock, or patients undergoing high risk procedures. As the number of complex interventional procedures
increases, cardiac arrest in the cath lab will become more common and optimal management
of this scenario is critical for both the patient and operator.
Conclusion: In this review, we will discuss the special challenges during the resuscitation efforts in
cath lab, especially with tradition chest compression. We will discuss the alternative options including
mechanical compression devices and Invasive Percutaneous Mechanical Circulatory Support
Devices. Finally, we will offer management suggestions on selecting the appropriate circulatory
support device based on clinical and anatomic risks.
Keywords: Cardiac arrest, catheterization lab, mechanical compression devices, PCI, invasive percutaneous mechanical circulatory
support devices, LUCAS, LifeStat, AutoPulse, impella, ECMO.
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