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Cardiothoracic injuries after CardioPump CPR: a report of two cases and review of the literature

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Abstract

Although many clinical trials have demonstrated its efficacy during active compression-decompression cardiopulmonary resuscitation (ACD-CPR), the Ambu® CardioPump seems likely to cause severe and sometimes lethal injuries. In this paper, we report two cases observed at the Institute of Legal Medicine of Nancy, France. A 67-year-old man collapsed in the street, in the presence of witnesses, and without any sign of trauma. The autopsy revealed a flail chest, a wound of the left ventricle, a rupture of the right ventricle, and a wrenching of the inferior vena cava. A 71-year-old woman was found in her apartment during an accidental fire. The autopsy revealed a sternal fracture, many rib fractures, and a perforation of the superior vena cava, the pericardium, and the heart. Despite articles focusing on complications of the use of the CardioPump in the late 1990s, this technique is still used in practice. These two cases emphasize that iatrogenic injuries must be taken into account in the CardioPump benefit/risk balance and the relevance of its daily use.

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References

  1. Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI et al (2015) European Resuscitation Council Guidelines for Resuscitation 2015 Section 1. Executive summary Resuscitation 95:1–80

    PubMed  Google Scholar 

  2. Lindner KH, Pfenninger EG, Lurie KG, Schürmann W, Lindner IM, Ahnefeld FW (1993) Effects of active compression-decompression resuscitation on myocardial and cerebral blood flow in pigs. Circulation 88(3):1254–1263

    Article  CAS  Google Scholar 

  3. Shultz JJ, Coffeen P, Sweeney M, Detloff B, Kehler C, Pineda E et al (1994) Evaluation of standard and active compression-decompression CPR in an acute human model of ventricular fibrillation. Circulation 89(2):684–693

    Article  CAS  Google Scholar 

  4. Plaisance P, Adnet F, Vicaut E, Hennequin B, Magne P, Prudhomme C et al (1997) Benefit of active compression-decompression cardiopulmonary resuscitation as a prehospital advanced cardiac life support. A randomized multicenter study. Circulation 95(4):955–961

    Article  CAS  Google Scholar 

  5. Lurie KG, Shultz JJ, Callaham ML, Schwab TM, Gisch T, Rector T et al (1994) Evaluation of active compression-decompression CPR in victims of out-of-hospital cardiac arrest. JAMA 271(18):1405–1411

    Article  CAS  Google Scholar 

  6. Tucker KJ, Galli F, Savitt MA, Kahsai D, Bresnahan L, Redberg RF (1994) Active compression-decompression resuscitation: effect on resuscitation success after in-hospital cardiac arrest. J Am Coll Cardiol 24(1):201–209

    Article  CAS  Google Scholar 

  7. Lafuente-Lafuente C, Melero-Bascones M (2013) Active chest compression-decompression for cardiopulmonary resuscitation. In: Cochrane Database of Systematic Reviews [Internet]. John Wiley & Sons, Ltd; [cité 26 mars 2015]. Disponible sur: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002751.pub3/abstract

  8. Günaydın YK, Çekmen B, Akıllı NB, Köylü R, Sert ET, Cander B (2016) Comparative effectiveness of standard cardiopulmonary resuscitation vs active compression-decompression cardiopulmonary resuscitation with CardioPump for treatment of cardiac arrest. Am J Emerg Med [Internet]. [cité 28 janv 2016]; Disponible sur: http://www.sciencedirect.com/science/article/pii/S0735675715011225

  9. Buschmann C, Schulz T, Tsokos M, Kleber C (2013) Emergency medicine techniques and the forensic autopsy. Forensic Sci Med Pathol 9(1):48–67

    Article  Google Scholar 

  10. Haid C, Rabl W, Baubin M (1997) Active compression-decompression resuscitation: the influence of different chest geometries on the force transmission. Resuscitationt 35(1):83–85

    Article  CAS  Google Scholar 

  11. Olds K, Byard RW, Langlois NEI (2015) Injuries associated with resuscitation—an overview. J Forensic Leg Med 33:39–43

    Article  Google Scholar 

  12. Liu N, Boyle K, Bertrand C, Bonnet F (1996) Stomach rupture during CPR. Ann Emerg Med 27(1):105–106

    Article  CAS  Google Scholar 

  13. Klintschar M, Darok M, Radner H (1998) Massive injury to the heart after attempted active compression-decompression cardiopulmonary resuscitation. Int J Legal Med 111(2):93–96

    Article  CAS  Google Scholar 

  14. Rabl W, Baubin M, Broinger G, Scheithauer R (1996) Serious complications from active compression-decompression cardiopulmonary resuscitation. Int J Legal Med 109(2):84–89

    Article  CAS  Google Scholar 

  15. Baubin M, Sumann G, Rabl W, Eibl G, Wenzel V, Mair P (1999) Increased frequency of thorax injuries with ACD-CPR. Resuscitation 41(1):33–38

    Article  CAS  Google Scholar 

  16. Baubin M, Rabl W, Pfeiffer KP, Benzer A, Gilly H (1999) Chest injuries after active compression–decompression cardiopulmonary resuscitation (ACD-CPR) in cadavers. Resuscitation 43(1):9–15

    Article  CAS  Google Scholar 

  17. Tattoli L, Maselli E, Romanelli MC, Di Vella G, Solarino B (2014) Complete cardiac rupture associated with closed chest cardiac massage: case report and review of the literature. J Forensic Sci 59(2):564–567

    Article  Google Scholar 

  18. Soar J, Nolan JP, Böttiger BW, Perkins GD, Lott C, Carli P et al (2015) European Resuscitation Council Guidelines for Resuscitation 2015 Section 3. Adult advanced life support. Resuscitation 95:100–147

    Article  Google Scholar 

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Authors and Affiliations

  1. CHRU Nancy, Service de Médecine Légale, 54000, Nancy, France

    Martin Kolopp, Patrick Grafiadis & Laurent Martrille

  2. Institut de Médecine Légale, 12 avenue Rockefeller, 69008, Lyon, France

    Angélique Franchi

Authors
  1. Martin Kolopp
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  2. Angélique Franchi
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  3. Patrick Grafiadis
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  4. Laurent Martrille
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Correspondence to Martin Kolopp.

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Kolopp, M., Franchi, A., Grafiadis, P. et al. Cardiothoracic injuries after CardioPump CPR: a report of two cases and review of the literature. Int J Legal Med 132, 771–774 (2018). https://doi.org/10.1007/s00414-017-1701-8

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  • DOI: https://doi.org/10.1007/s00414-017-1701-8

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