Stryker performed a literature review, which described the following event: "a 57-year-old male with a history of morbid obesity (bmi 49) presented to an outside hospital with chest pain and subsequently went into cardiac arrest.Adult cardiac life support (acls) was promptly initiated, relying on the lucas device to deliver compressions for a period of over 1 hour while the patient was cannulated onto veno-arterial extracorporeal membrane oxygenation (va-ecmo) via the femoral vein and femoral artery.A distal perfusion catheter was added to promote lower extremity perfusion.Emergent cardiac catherization subsequently revealed complete occlusion of the left anterior descending artery and was treated with drug eluting stent placement.Post-intervention, the patient had worsening lactic acidosis and shock despite maximum vaecmo support and was transferred to our institution for advanced heart failure management." "the lucas was mispositioned and caused sternal and rib injuries leading to significant pulmonary contusions, necrotizing pulmonary infection, and severe sepsis." the patient eventually passed away.
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