Extracorporeal Membrane Oxygenation in Massive Pulmonary Embolism

被引：43

作者：

Dolmatova, Elena V. ^{[1
,2
]}

Moazzami, Kasra ^{[1
,2
]}

Cocke, Thomas P. ^{[1
,3
,4
]}

Elmann, Elie ^{[1
]}

Vaidya, Pranay ^{[1
]}

Ng, Arthur F. ^{[1
]}

Satya, Kumar ^{[1
]}

Narayan, Rajeev L. ^{[1
,2
,3
,4
]}

机构：

[1] Hackensack Univ, Med Ctr, Hackesack, NJ USA

[2] Rutgers New Jersey Med Sch, Newark, NJ USA

[3] Valley Med Grp, Ridgewood, NJ USA

[4] Valley Hosp, Ridgewood, NJ USA

来源：

HEART & LUNG | 2017年 / 46卷 / 02期

关键词：

Extracorporeal Membrane Oxygenation; Pulmonary embolism; Cardiopulmonary support; Mortality; Complication; LIFE-SUPPORT; MANAGEMENT; THROMBOSIS; REGISTRY;

D O I：

10.1016/j.hrtlng.2016.11.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Extracorporeal Membrane Oxygenation (ECMO) has been suggested for cardiopulmonary support in patients with massive pulmonary embolism (PE) refractory to other treatment or as bridging to embolectomy. The survival benefit from ECMO in patients with massive PE remains unclear. Methods: Here, we describe 5 cases in which ECMO was used as cardiopulmonary support following massive near-fatal pulmonary embolism. Results: The overall mortality in patients with massive PE that received ECMO support was 40%. Death occurred secondary to ECMO-related complication in one case and due to inability to maintain adequate cerebral perfusion despite ECMO support in the second case. Conclusions: ECMO can be considered as a treatment modality for patients with massive PE. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：106 / 109

页数：4

共 18 条

[1] Successful extracorporeal membrane oxygenation support after pulmonary thromboendarterectomy [J].

Berman, Marius ;

Tsui, Steven ;

Vuylsteke, Alain ;

Snell, Andrew ;

Colah, Simon ;

Latimer, Ray ;

Hall, Roger ;

Arrowsmith, Joseph E. ;

Kneeshaw, John ;

Klein, Andrew A. ;

Jenkins, David P. .

ANNALS OF THORACIC SURGERY, 2008, 86 (04) :1261-1267

[2] Outcomes and long-term quality-of-life of patients supported by extyacorpoyeal membrane oxygenation for refractory caydiogenic shock [J].

Combes, Alain ;

Leprince, Pascal ;

Luyt, Charles-Edouard ;

Bonnet, Nicolas ;

Trouillet, Jean-Louis ;

Leger, Philippe ;

Pavie, Alain ;

Chastre, Jean .

CRITICAL CARE MEDICINE, 2008, 36 (05) :1404-1411

[3] ACUTE MASSIVE PULMONARY EMBOLISM - SUCCESSFUL SURGICAL TREATMENT USING TEMPORARY CARDIOPULMONARY BYPASS [J].

COOLEY, DA ;

BEALL, AC ;

ALEXANDER, JK .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1961, 177 (05) :283-&

[4] DEEP VENOUS THROMBOSIS AND PULMONARY EMBOLISM - PREDICTION, PREVENTION AND TREATMENT [J].

COON, WW ;

WILLIS, PW .

AMERICAN JOURNAL OF CARDIOLOGY, 1959, 4 (05) :611-621

[5] NATURAL-HISTORY OF PULMONARY-EMBOLISM [J].

DALEN, JE ;

ALPERT, JS .

PROGRESS IN CARDIOVASCULAR DISEASES, 1975, 17 (04) :259-270

[6] Extracorporeal membrane oxygenation as a bridge to surgical embolectomy in acute fulminant pulmonary embolism [J].

Deehring, Randall ;

Kiss, Attilla B. ;

Garrett, Aaron ;

Hillier, Anthony G. .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2006, 24 (07) :879-880

[7] Modern treatment of pulmonary embolism [J].

Goldhaber, SZ .

EUROPEAN RESPIRATORY JOURNAL, 2002, 19 :22S-27S

[8] Management of Massive and Submassive Pulmonary Embolism, Iliofemoral Deep Vein Thrombosis, and Chronic Thromboembolic Pulmonary Hypertension [J].

Jaff, Michael R. ;

McMurtry, M. Sean ;

Archer, Stephen L. ;

Cushman, Mary ;

Goldenberg, Neil ;

Goldhaber, Samuel Z. ;

Jenkins, J. Stephen ;

Kline, Jeffrey A. ;

Michaels, Andrew D. ;

Thistlethwaite, Patricia ;

Vedantham, Suresh ;

White, R. James ;

Zierler, Brenda K. .

CIRCULATION, 2011, 123 (16) :1788-1830

[9] Management strategies and determinants of outcome in acute major pulmonary embolism: Results of a multicenter registry [J].

Kasper, W ;

Konstantinides, S ;

Geibel, A ;

Olschewski, M ;

Heinrich, F ;

Grosser, KD ;

Rauber, K ;

Iversen, S ;

Redecker, M ;

Kienast, J .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (05) :1165-1171

[10] Extracorporeal life support for massive pulmonary embolism [J].

Maggio, Paul ;

Hemmila, Mark ;

Haft, Jonathan ;

Bartlett, Robert .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007, 62 (03) :570-576

← 1 2 →