Extracorporeal Cardiopulmonary Resuscitation for Periviable Pregnancy With a Fetus In Situ.

Mohit Pahuja, Khushboo Agarwal, Abby Russell, Benjamin Chou, Koichi Nomoto, Nana Toyoda, Shinobu Itagaki

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

ECPR in Maternal Cardiac Arrest With Intrauterine Fetal Demise.JACC. Case reports · 2026
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mohit PahujaDivision of Cardiology, Department of Internal Medicine, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, USA. Electronic address: mohit.pahuja@ouhealth.com.

Khushboo AgarwalDivision of Cardiology, Department of Internal Medicine, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, USA.

Abby RussellDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, USA.

Benjamin ChouDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, USA.

Koichi NomotoDepartment of Anesthesiology, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, USA.

Nana ToyodaDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, USA.

Shinobu ItagakiDivision of Cardiothoracic and Vascular Surgery, Department of Surgery, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, USA. Electronic address: shinobu.itagaki@ouhealth.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal cardiac arrest at periviable gestation presents unique physiologic and logistical challenges. Evidence guiding the use of extracorporeal cardiopulmonary resuscitation (ECPR) in pregnancy remains limited, particularly relative to emergent cesarean delivery, a Class I guideline recommendation. CASE SUMMARY: A 32-year-old woman at 24 weeks and 5 days' gestation with newly diagnosed intrauterine fetal demise presented in refractory cardiogenic shock and suffered pulseless electrical activity arrest. Resuscitative hysterotomy was not feasible in the catheterization laboratory. Given absent return of spontaneous circulation and preexisting large-bore arterial access from an Impella, venoarterial extracorporeal membrane oxygenation was initiated for ECPR. After stabilization, the pregnancy was managed expectantly with coagulopathy monitoring. She was decannulated on hospital day 7, delivered spontaneously on day 11, and discharged home on day 60 with improved left ventricular function. TAKE-HOME MESSAGE: When rapid cannulation is feasible, ECPR may be lifesaving while maternal stabilization and individualized obstetric planning remain paramount.

Indexed as

cardiac arrestcardiogenic shockECMOECPRintrauterine fetal demisepregnancy

Identifiers

PMID42524778

DOI10.1016/j.jaccas.2026.109540

PMCPMC13554845

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.