Refractory ventricular fibrillation managed by coronary revascularisation performed during ongoing manual cardiac...

Area of Science:

• Cardiology
• Interventional Cardiology
• Critical Care Medicine

Background:

• Ventricular arrhythmias frequently result from myocardial infarction.
• Percutaneous coronary intervention is rarely employed during active resuscitation for persistent ventricular arrhythmias.

Observation:

• A case of refractory ventricular fibrillation due to in-stent thrombosis during ongoing resuscitation is presented.
• The patient required prolonged cardiopulmonary resuscitation (1.5 hours).

Findings:

• Emergent coronary angiogram and stent placement were performed during active cardiopulmonary resuscitation.
• The intervention successfully managed the in-stent thrombosis and ventricular fibrillation.

Implications:

• Performing percutaneous coronary intervention during resuscitation can be a life-saving strategy for specific cases of myocardial infarction-induced ventricular arrhythmias.
• This case highlights the feasibility and positive outcomes of emergent invasive procedures in critical care settings.