title: Out-of-hospital extra-corporeal life support implantation during refractory cardiac arrest in a half-marathon runner.
abstract: For patients who present with an out-of-hospital refractory cardiac arrest, in-hospital extracorporeal life-support (ECLS) initiation represents an alternative therapy which allows significant survival. We describe here the first case of out-of-hospital ECLS implantation in a patient presenting with a refractory cardiac arrest during a road race. ECLS was initiated within the MICU ambulance 60 min after cardiac arrest and enabled restoration of cardiac output to 4.5 l min⁻¹. Coronarography revealed a severe isolated stenosis of the right coronary artery, which was treated by angioplasty. The cardiogenic shock resolved progressively, enabling ECLS weaning within 48h, while renal, hepatic, and respiratory functions recovered simultaneously.
authors.affiliation: Service de Chirurgie Cardio-Thoracique, Hôpital Pitié-Salpêtrière, Université Pierre et Marie Curie - Paris 6, Paris, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Lebreton
authors.forename: Matteo
authors.initials: M
authors.lastname: Pozzi
authors.forename: Charles-Edouard
authors.initials: CE
authors.lastname: Luyt
authors.forename: Jean
authors.initials: J
authors.lastname: Chastre
authors.forename: Pierre
authors.initials: P
authors.lastname: Carli
authors.forename: Alain
authors.initials: A
authors.lastname: Pavie
authors.forename: Pascal
authors.initials: P
authors.lastname: Leprince
authors.forename: Benoît
authors.initials: B
authors.lastname: Vivien
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D004632:Emergency Medical Services / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D058687:Out-of-Hospital Cardiac Arrest / Q000175:diagnosis / Q000628:therapy*; D005082:Physical Exertion / Q000502:physiology; D012420:Running; D017211:Treatment Failure