Cardiac arrest during peri-anesthetic systemic induction and maintenance in valvular heart disease: proceed…

Cohort studyEuropean journal of medical research· Aug 2025

Cardiac arrest during peri-anesthetic systemic induction and maintenance in valvular heart disease: proceed or abandon? Clinical validation of a modified cardiopulmonary bypass strategy in 21 patients.

Haoshi Wang, Heng Yang, Jia Liu … Zhengwen Lei

Cardiac & Thoracic AnesthesiaCohort study

Continuing valve surgery after intraoperative cardiac arrest yielded high short-term survival

Cardiac arrest during peri-anesthetic systemic induction and maintenance in valvular heart disease: proceed or abandon? Clinical validation of a modified cardiopulmonary bypass strategy in 21 patients.

Haoshi Wang … Zhengwen Lei

European journal of medical research · Aug 2025

Background

Critical gaps persist in clinical guidelines and resuscitation strategies for induction and maintenance phase peri-anesthetic cardiac arrest (IM-PACA), urgently necessitating exploration of feasible solutions during anesthesia induction and maintenance periods.

Purpose

This study evaluates a modified cardiopulmonary bypass (cardiopulmonary bypass) strategy for managing IM-PACA in valvular heart disease (valvular heart disease) surgical patients.

Methods

Who completed normal cardiac valve surgery (n = 84) were randomly selected from the medical record database as the Routine Surgery group (RS group), serving as a benchmark control for the standard efficacy of routine surgery.

n = 21

Results

most patients survived short term after resuscitation and continued valve surgery

CAR group

95.24%

RS group

100%

More results

Baseline characteristics including gender, age, and smoking history showed no significant differences between the two groups (P > 0.05).

105 (71.25-150.00) ml; P < 0.001) compared to the RS group.

Other intraoperative and postoperative parameters revealed no statistically significant differences when compared with the RS group (P > 0.05).

“

Conclusion

For IM-PACA patients undergoing cardiac valve surgery, the modified cardiopulmonary bypass strategy is an effective rescue method, and the strategy of continuing surgery after resuscitation is completely feasible.

Cardiac arrest during peri-anesthetic systemic induction and maintenance in valvular heart disease: proceed or abandon? Clinical validation of a modified cardiopulmonary bypass strategy in 21 patients.

Cardiac arrest during peri-anesthetic systemic induction and maintenance in valvular heart disease: proceed or abandon? Clinical validation of a modified cardiopulmonary bypass strategy in 21 patients.

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