A Second Chance for Survival: Clinical Trial Evidence, Eligibility, and Barriers to Implementation of ECPR for Out-of-Hospital Cardiac Arrest

被引：5

作者：

Grunau, Brian ^{[1
,2
,3
]}

Singh, Gurmeet ^{[4
,5
]}

Belohlavek, Jan ^{[6
,7
]}

Yannopoulos, Demetris ^{[8
,9
]}

Tonna, Joseph E. ^{[10
,11
]}

Hutin, Alice ^{[12
]}

Nagpal, Dave ^{[13
,14
]}

Cournoyer, Alexis ^{[15
,16
]}

van Diepen, Sean ^{[17
,18
]}

机构：

[1] St Pauls Hosp, Dept Emergency Med, Vancouver, BC, Canada

[2] St Pauls Hosp, Ctr Hlth Evaluat & Outcome Sci, Vancouver, BC, Canada

[3] Univ British Columbia, Vancouver, BC, Canada

[4] Univ Alberta, Dept Crit Care Med, Mazankowski Alberta Heart Inst, Edmonton, AB, Canada

[5] Univ Alberta, Mazankowski Alberta Heart Inst, Div Cardiac Surg, Edmonton, AB, Canada

[6] Charles Univ Prague, Med Sch 1, Dept Internal Med 2, Cardiovasc Med, Prague, Czech Republic

[7] Gen Univ Hosp, Prague, Czech Republic

[8] Univ Minnesota, Sch Med, Div Cardiol, Minneapolis, MN USA

[9] Univ Minnesota, Sch Med, Ctr Resuscitat Med, Minneapolis, MN USA

[10] Univ Utah Hlth, Dept Surg, Div Cardiothorac Surg, Salt Lake City, UT USA

[11] Univ Utah Hlth, Dept Emergency Med, Salt Lake City, UT USA

[12] SAMU Paris DAR Necker Univ Hosp, Assistance Publ Hop Paris, Paris, France

[13] Western Univ, Div Crit Care Med, London, ON, Canada

[14] Western Univ, Div Cardiac Surg, London, ON, Canada

[15] Hosp Sacre Coeur Montreal, Montreal, PQ, Canada

[16] Univ Montreal, Montreal, PQ, Canada

[17] Univ Alberta, Dept Crit Care Med, Edmonton, AB, Canada

[18] Univ Alberta, Dept Med, Div Cardiol, Edmonton, AB, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2023年 / 39卷 / 04期

关键词：

EXTRACORPOREAL CARDIOPULMONARY-RESUSCITATION;

D O I：

10.1016/j.cjca.2022.12.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Unfortunately, < 10% out-of-hospital cardiac arrests (OHCA) survive to hospital discharge. Extracorporeal membrane oxygenation (ECMO)-assisted cardiopulmo-nary resuscitation (ECPR), providing emergent cardio-pulmonary support, is a promising but resource-intensive and logistically complex therapy that may improve OHCA outcomes. Until recently, available evidence was limited to observational studies. However, 2 randomized clinical trials now provide supporting data for experienced ECMO centres to consider offering this treatment.

引用

页码：381 / 384

页数：4

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