Mechanical cardiopulmonary resuscitation for venoarterial ECMO implantation in pulmonary embolism complicated by type B aortic dissection and retroperitoneal hemorrhage

被引：3

作者：

Maybauer, Marc O. ^{[1
,2
,3
,5
,6
,7
]}

El Banayosy, Aly ^{[4
,6
]}

Koerner, Michael M. ^{[6
,7
,8
]}

Hooker, Robert L. ^{[6
]}

Swant, Laura V. ^{[6
]}

Mihu, Mircea R. ^{[6
]}

Harper, Michael D. ^{[6
,7
]}

机构：

[1] Philipps Univ, Dept Anaesthesiol & Intens Care Med, Marburg, Germany

[2] Prince Charles Hosp, Crit Care Res Grp, Brisbane, Qld, Australia

[3] Univ Queensland, Brisbane, Qld, Australia

[4] Manchester Univ NHS Fdn Trust, Manchester Acad Hlth Sci Ctr, Manchester Royal Infirm, Dept Anaesthesia, Manchester, Lancs, England

[5] Univ Manchester, Manchester, Lancs, England

[6] INTEGRIS Nazih Zuhdi Transplant Inst, Adv Crit Care, Oklahoma City, OK USA

[7] Oklahoma State Univ, Hlth Sci Ctr, Dept Med Cardiol, Tulsa, OK USA

[8] Ruhr Univ, Fac Med, Bochum, Germany

来源：

JOURNAL OF CARDIAC SURGERY | 2020年 / 35卷 / 10期

关键词：

extracorporeal cardiopulmonary resuscitation; extracorporeal life support; extracorporeal membrane oxygenation; ECLS; ECPR; MULTICENTER;

D O I：

10.1111/jocs.14782

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A patient with acute pulmonary embolism suffered cardiac arrest, received manual and mechanical cardiopulmonary resuscitation and tissue plasminogen activator before extracorporeal cardiopulmonary resuscitation was initiated. She suffered a type B aortic dissection and retroperitoneal hemorrhage secondary to resuscitation measures. This case report describes high-risk anticoagulation management for contradicting treatment goals in preparation for pulmonary embolectomy on cardiopulmonary bypass.

引用

页码：2821 / 2824

页数：4

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