LAUSR

We read with interest Yadav and Truong’s recent excellent review regarding cardiac arrest occurring in the cardiac catheterization laboratory (cath lab) [1]. The authors suggest a valuable role for percutaneous mechanical circulatory support devices (pMCS) in the treatment of selected cardiac arrest patients who do not respond to mechanical chest compression, pharmacotherapy and repeat defibrillations. In their protocol, the authors propose Extracorporeal Membrane Oxygenation (ECMO) as the preferred pMCS. However, this recommendation, based in part, we suspect, on the authors’ vast and successful experience with ECMO, may not be widely applicable.