A case series: alternative access for refractory shock during cardiac arrest.

ABSTRACT:

Background

In patients with iliofemoral arterial disease, transcaval and percutaneous axillary artery access are safe alternatives for delivery of transcatheter aortic valve replacement for severe aortic stenosis. In the setting of cardiac arrest, arterial access is crucial for delivery of mechanical circulatory support devices such as an Impella CP^® or cannulation for extracorporeal cardiopulmonary resuscitation (ECMO). We report the use of transcaval and axillary artery access in three cases of cardiac arrest in which the emergent placement of an Impella CP^® (Abiomed, Danvers, MA, USA) or cannulation for ECMO was instrumental in resuscitation from refractory cardiac arrest.

Case summary

The first patient is a 59-year-old woman who developed ventricula

SUBMITTER: Cui CQ 

PROVIDER: S-EPMC6764545 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature