Physio Control LUCAS 3, Instructor Manual

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APPENDIX C / LUCAS IN THE CATH LAB
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Continuing the Intervention During LUCAS Compressions
The interventionalist CAN catheterise, balloon and stent the patient during ongoing
compressions. During stent positioning, LUCAS device might be paused to ensure a
precise positioning.
LUCAS Device with Other Circulatory Supports Used in the Cath Lab
The LUCAS device can work as a “bridge” to left ventricular assist devices (LVADs) or other
extracorporeal circulation support devices or surgery, such as extracorporeal membrane
oxygenation (ECMO). This means it “buys time” for the patient, providing vital circulation
while these other devices are set up for use.
Prolonged Resuscitation in the Cath Lab
The LUCAS device faciliates prolonged rescue attempts in the cath lab. The AC power
cord can be used to prolong the operation time. There was a case out of Minneapolis,
MN, in which the LUCAS device provided compressions on a patient for two hours and 45
minutes. The patient survived with no neurological deficits.
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Common Angiographic Views with the LUCAS Device
The following images are from a test performed at Liverpool Hospital Cardiac
Catheterization Lab in New South Wales, Australia.
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The most common angiographic views
were performed using Philips
®
Interventional Fluoroscopy System with a LUCAS 2 device,
set up with the carbon fiber Back Plate. A Wire Heart (Bayer Pharmaceuticals) consisting
of wire coronaries attached to a plastic aorta on a metal stand with plastic base was used
to depict the coronary arteries. This test showed that the LUCAS 2 device provided clear
working views in RAO-PA and RAO-PA Caudal planes with workable lateral views.
Although the photographs below show a LUCAS 2 Device, there is no difference in views as
the LUCAS 3 device support legs and PCI plate are similar to those of the LUCAS 2 device.