CAOCT: Intra CoronAry Optical Computerized Tomography in out-of Hospital Cardiac Arrest Patients

Exclusion Criteria

• •The patient is still receiving cardiac massage at the time of admission in the cath-lab,
• •There is an obvious extra cardiac cause to the cardiac arrest (suicide, drowning, hanging, trauma etc.),
• •The patient has prior coronary artery bypass grafting,
• •The patient has incessant ventricular tachycardia/fibrillation,
• •The patient has at least one acute or chronic coronary occlusion of an epicardial coronary artery ≥2.0mm of diameter on conventional angiography, The coronary artery anatomy does not allow realization of three vessels OCT according to the interventional cardiologist (severe tortuosity, severe calcifications etc.),
• •The patient is in cardiogenic shock or with a left ventricular assistance device,
• •The post ROSC ECG (12 leads) exhibits ST segment elevation (defined as a ≥1mm ST segment elevation in two or more contiguous standard leads or as a ≥2mm ST segment elevation in two or more precordial leads),
• •The post ROSC ECG (12 leads) exhibits new left bundle block branch (LBBB).