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. Author manuscript; available in PMC: 2021 Jun 1.
Published in final edited form as: Curr Opin Crit Care. 2020 Jun;26(3):228–235. doi: 10.1097/MCC.0000000000000717

Table 1.

Eligibility Criteria for ECPR in the Ongoing Clinical Trials.

Inclusion Criteria Exclusion Criteria
Minnesota Resuscitation Protocol28/ARREST Trial25
  • VT/VF as first presenting rhythm

  • 18–75 years of age

  • Three EMS-delivered direct current shocks without achieving ROSC

  • Body morphology able to accommodate a Lund University Cardiac Arrest System automated CPR device

  • Estimated transfer time to the scene of the cardiac catheterization laboratory <30 minutes

  • Efficient CPR (end-tidal carbon dioxide <10 mmHg, PaO2 <50 mmHg, lactate <18 mmol/l)

  • Non-shockable rhythm (asystole or pulseless electrical activity)

  • Cardiac arrest of non-cardiac etiology

  • Contraindications to mechanical CPR

  • Known pregnancy

  • Known prisoners

  • Nursing home residents

  • Valid do not resuscitate/do not intubate orders

  • Known terminal illness

  • Absolute contraindication to angiographic contrast media

  • Active gastrointestinal or internal bleeding

EROCA Trial26
  • OHCA of presumed non-traumatic etiology requiring CPR

  • Predicted arrival time at ECPR-capable hospital within timeframe specified

  • Witnessed arrest or initial shockable rhythm (VT/VF)

  • Persistent cardiac arrest after initial cardiac rhythm analysis and shock (if shock is indicated)

  • Sustained ROSC

  • Advanced directive indicating do not resuscitate/do not intubate orders

  • Pre-existing evidence of opting out of study

  • Prisoner

  • Pregnant (obvious or known)

  • ECPR capable emergency department is not at the destination hospital as determined by emergency medical services

  • Legally authorized representative refuses study participation at the scene

INCEPTION Trial24
  • Age 18–70 years

  • Witnessed OHCA

  • Initial rhythm of VT/VF or AED-shock administered

  • Bystander BLS

  • No ROSC within 15 minutes

  • ROSC with sustained hemodynamic recovery within 15 minutes

  • Terminal heart failure (New York Heart Association III or IV)

  • Severe pulmonary disease

  • Oncological disease

  • Pregnancy

  • Bilateral femoral vessel bypass surgery

  • Pre-arrest cerebral performance category score of 3 or 4

  • Mutiple trauma

  • Advanced health care directive

  • Expected initiation of cannulation >60 minutes after arrest

SUB30 Trial27
  • Witnessed OHCA

  • Presumed cardiac etiology

  • Bystander compression within 3 minutes

  • Remain in cardiac arrest for 20 minutes following the call to emergency services or failure to sustain ROSC in the pre-hospital setting

  • Known or visible pregnancy

  • No signs of life (physical movement) AND evidence of ineffective chest compressions suggested by: absence of electrical activity at 20 minutes out or end tidal carbon dioxide of less than 1.3 kPa (10 mmHg)

  • Evidence from others present at the scene or patient examination that ECMO unlikely to benefit patient

CPR: Cardiopulmonary resuscitation; OHCA: Out-of-Hospital Cardiac Arrest; ROSC: Return of Spontaneous Circulation; VT/VF: Ventricular Tachycardia/Ventricular Fibrillation.