PMC3484633_01
Coronary angiography and stenting during continuous chest compression by means of the LUCAS device in a 40-year-old patient with cardiac arrest. Angiography showed a thrombotic subocclusion of the left main coronary stem (panel A; arrow showing the subocclusive stenosis).. After pre-dilation with a 2.5x20 mm semi-compliant balloon at 12 atmospheres at the left main-left circumflex level (panel B), a 3.5x25 mm bare-metal stent was implanted up to 20 atmospheres at the left main-left anterior descending level (panel C), with a satisfactory result in terms of residual stenosis (panel D).. Despite this and continuous cardiopulmonary support, the patient never achieved a return of spontaneous circulation and was declared dead 30 minutes after the end of the revascularization procedure.
hsrp-03-203-g001.jpg
PMC3484633_01_hsrp-03-203-g001.jpg
F001
A thrombotic subocclusion of the left main coronary stem was demonstrated, together with chronic total occlusions of the distal left anterior descending and distal right coronary artery (Figure 1).