{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:17:24Z","timestamp":1783343844820,"version":"3.54.6"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Extracorporeal membrane oxygenation (ECMO) during cardiac arrest resuscitation (E-CPR) is the last resort therapy in case of refractory cardiac arrest. Despite promising results in intra-hospital cardiac arrest (IHCA), the prognosis of extra-hospital cardiac arrest managed with E-CPR remain controversial, especially in children. We report a rare case of prolonged extra-hospital refractory cardiac after intentional drowning, in a region far from all ECMO center. The child was supported by veno-arterial (VA) ECMO after three and a half hours of CPR. VA ECMO switched to veno venous ECMO on day three. VV ECMO was weaned on day nine. Brain MRI identified a right frontoparietal ischemia and mild hemorrhage. Clinical follow-up 3\u00a0years after cardiac arrest showed a mild motor delay with paresis of the left lower limb. This case supports the necessity to take into consideration the possibility to propose E-CPR in refractory cardiac arrest after accidental drowning.<\/jats:p>","DOI":"10.1177\/02676591261436597","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T06:25:31Z","timestamp":1780727131000},"page":"780-783","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Unexpected survival after a prolonged extra-hospital refractory cardiac arrest in a one-year-old child"],"prefix":"10.1177","volume":"41","author":[{"given":"Anne Lise","family":"Mary","sequence":"first","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Starck","sequence":"additional","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Hervieux","sequence":"additional","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrine","family":"Jean","sequence":"additional","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Guilbert","sequence":"additional","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyril","family":"Guillier","sequence":"additional","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohan","family":"Soreze","sequence":"additional","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre Louis","family":"L\u00e9ger","sequence":"additional","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5906-9107","authenticated-orcid":false,"given":"Jerome","family":"Rambaud","sequence":"additional","affiliation":[{"name":"Sorbonne University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2024.110380"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2024.111731"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001735"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2018.02.026"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2025.110794"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000002557"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-080579"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.03.002"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2019.01.005"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(19)32751-2"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000003423"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261436597","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591261436597","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261436597","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:30:47Z","timestamp":1783341047000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591261436597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,5]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/02676591261436597"],"URL":"https:\/\/doi.org\/10.1177\/02676591261436597","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,5]]}}}