ACUTE CARDIAC-ARREST DURING UROLOGICAL RO UTINE PROCEDURES - REPORT OF 2 CASES

Intraoperativ pulmonary embolism with acute cardiac arrest can success fully be managed by immediate open cardiac massage followed by rt-PA i njection, an interdisciplinary approach is mandatory. The scheduled tu mor nephrectomy was performed 6 weeks after the initial event. The tum or was embolised with intravascular coils placed in a supraselective m anner by the radiologist. During the secondary procedure it was found to be necrotic. In the second case the event occurred at the end of a radical cystectomy. Instead of an ileal conduit cutaneous ureterostomi es were used for urinary drainage after cardiac output had been restor ed and rt-PA had been administered.