About this trial
A prospective pilot feasibility study of prehospital ECPR in patients with refractory OHCA
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Estimated age 18-70 years
Refractory out-of-hospital cardiac arrest (3 unsuccessful defibrillations and/or at least 10 minutes of resuscitation in case of pulseless electrical activity)
Witnessed cardiac arrest
ECPR team available
Disqualifiers
Unwitnessed cardiac arrest
Asystole
ETCO2 less than 10 mmHg upon ECPR team arrival
Known limitations of intensive care (Do Not Resuscitate - DNR status)
Trial design
Single group
Treatments tested in this trial
Extracorporeal cardiopulmonary resuscitation (ECPR)
Other interventionPrehospital extracorporeal cardiopulmonary resuscitation (ECPR)
Treatment groups
Trial outcomes
Primary outcomes
Time from collapse to ECPR
Time from collapse to start of VA ECMO flow
Secondary outcomes
All cause survival at 30-days
Kaplan Meier analysis, log-rank test
Modified Rankin Scale at 30-days
Modified Rankin Scale (mRS) at 30 days: mRS 0-3 is considered a good outcome, and mRS 4-6 is considered a poor outcome.
Other outcomes
Major bleeding
Major bleeding, TIMI classification
Vascular complications
Vascular complications including disections, pseudoaneurysm, closure, thrombus
Infectious complications
Local groin infection requiring treatment or sepsis requiring treatment
Sponsors and contacts
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