Mechanical compression of coronary artery stents: potential hazard for patients undergoing cardiopulmonary resuscitation.
Mechanical compression of coronary artery stents may be associated with a fatal outcome as the result of refractory myocardial ischemia. We present the history of an 83-yr-old patient, who died owing to hemorrhagic shock 3 days after stent implantation, despite immediate cardiopulmonary resuscitation (CPR). Postmortem examination showed stent compression, probably due to mechanical deformation during CPR. This complication has been reported in two other cases in the literature, suggesting that CPR may be hazardous to patients with coronary artery stents.
Windecker
S
S
Swiss Cardiovascular Center, University Hospital, Bern, Switzerland.
Maier
W
W
Eberli
F R
FR
Meier
B
B
Hess
O M
OM
D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000628:therapy*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D015607:Stents