R . Alejandro Díaz Gómez et al .: J Extra Corpor Technol 2025 , 57 , 38 – 41 41
Comment
In cases of in-hospital cardiac arrest ( IHCA ), the decision to withdraw resuscitation should not rely solely on the elapsed time . Several factors warrant consideration , including patient age , reversibility of cardiac arrest , initial rhythm , underlying medical conditions , resuscitation quality , and CPR response .
In this specific case , prompt and effective resuscitation efforts coupled with early consideration of ECMO , timely cannulation and transfer to a specialized center contributed to a successful outcome .
This case report underscores the potential life – saving benefits of a rapid and aggressive multidisciplinary approach , including mobile ECPR and prolonged direct cardiac massage in patients with refractory cardiac arrest , highlighting the uniqueness of this rare combination . While further research is needed to validate these findings , our experience suggests that strategy may offer hope and expand the therapeutic window for patients with otherwise unsurvivable cardiac arrest in a center without an ECMO program .
Funding This research did not receive any specific funding .
Conflicts of interest None .
Data availability statement All available data are incorporated into the article .
Author contribution statement
RD , CGK , CAN , and DGG participated directly in the clinical case study and wrote the first version . GBG and LFR performed the reference analysis and all authors contributed to the final version .
Ethics approval
A case report consent form was also obtained from the patient . This paper was presented prior to publication to the Local Ethics Committee ( Clinica Red Salud Santiago ).
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Cite this article as : Alejandro Díaz Gómez R , Alvarado Neves C , Gloria Karlezi de la Fuente C , Cecilia Bejarano Alva G , Garcia Gomez D & Fernanda Rodas García L . A case of intraoperative arrest & mobile ECMO . J Extra Corpor Technol 2025 , 57 , 38 – 41 . https :// doi . org / 10.1051 / ject / 2025003 .