Key result
Prompt interhospital transfer and ECPR achieve ROSC and CPC 2 following peripartum cardiac arrest.
Why the study?
Studies describing the effectiveness of extracorporeal cardiopulmonary resuscitation for peripartum cardiopulmonary arrest are lacking.
Case Report (n=1)
No
Prompt interhospital transfer and ECPR can be an effective rescue strategy for peripartum cardiac arrest due to nonhemorrhagic events.
May support ECPR feasibility in peripartum arrest; hypothesis-generating and requires prospective trials before practice change.
BACKGROUND: Studies describing the effectiveness of extracorporeal cardiopulmonary resuscitation (ECPR) for peripartum cardiopulmonary arrest are lacking. CASE PRESENTATION: A 39-year-old woman underwent elective cesarean section. Right after surgery, she fell into a cardiac arrest and was promptly transferred to our institute by ambulance. On arrival, we immediately initiated ECPR, within 63 min of the cardiac arrest. Return of spontaneous circulation was achieved 80 min after induction of extracorporeal membrane oxygenation. As the hemodynamics of the patient stabilized, extracorporeal membrane oxygenation was discontinued on day 3 of hospitalization. The patient's cerebral performance category score was 3 at discharge, which improved to 2 after 3 months. CONCLUSION: This case suggests that prompt interhospital transfer and ECPR might be effective for peripartum cardiac arrest due to nonhemorrhagic events.
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Ijuin et al. (2021) conducted a case report in Peripartum cardiopulmonary arrest (n=1). Interhospital transfer and extracorporeal cardiopulmonary resuscitation (ECPR) was evaluated on Return of spontaneous circulation and cerebral performance category score. Prompt interhospital transfer and ECPR led to return of spontaneous circulation and a cerebral performance category score of 2 at 3 months in a 39-year-old woman with peripartum cardiac arrest.
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