title: Intraaortic balloon occlusion during refractory cardiac arrest. A case report.
abstract: Despite recent advances in its management, the outcome from cardiac arrest is often poor despite appropriate cardiopulmonary resuscitation (CPR). The coronary perfusion pressure (CPP) achieved during CPR is associated with successful return of spontaneous circulation (ROSC). Continuous balloon occlusion of the descending aorta is an experimental method that can occlude the 'unnecessary' part of the circulation, thus diverting generated pressure and blood flow to the heart and brain. We present a case report with a patient unresponsive to standard CPR in which constant intraaortic balloon occlusion achieved ROSC and successful survival.
authors.affiliation: Istanbul Faculty of Medicine, Istanbul University, Cardiology Department, Millet Cad. Fatih, 34095 Istanbul, Turkey. mr.aslanger@hotmail.com
authors.forename: Emre
authors.initials: E
authors.lastname: Aslanger
authors.forename: Ebru
authors.initials: E
authors.lastname: Golcuk
authors.forename: Huseyin
authors.initials: H
authors.lastname: Oflaz
authors.forename: Akar
authors.initials: A
authors.lastname: Yilmaz
authors.forename: Fehmi
authors.initials: F
authors.lastname: Mercanoglu
authors.forename: Zehra
authors.initials: Z
authors.lastname: Bugra
authors.forename: Berrin
authors.initials: B
authors.lastname: Umman
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Nisanci
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic; D021721:Balloon Occlusion; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects; D003326:Coronary Circulation; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D017211:Treatment Failure