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- Title
Venoarterial extracorporeal membrane oxygenation for "protected" catheter-based embolectomy in high-risk/massive pulmonary embolism.
- Authors
Brewer, Joseph M; Sparling, Jeffrey; Maybauer, Marc O
- Abstract
High-risk/massive pulmonary embolism (PE) has a high mortality rate, especially when cardiac arrest occurs. Venoarterial (V-A) extracorporeal membrane oxygenation (ECMO) can rapidly restore and maintain circulation while a decision regarding further care or performance of other interventions takes place. Catheter-based embolectomy (CBE) is a technology that allows for percutaneous access, clot removal, and potential resolution of shock while avoiding sternotomy required for traditional pulmonary embolectomy. Rapid placement of V-A ECMO in patients with high-risk/massive PE prior to CBE may confer circulatory protection before, during, and after the procedure.
- Subjects
PULMONARY embolism; PERICARDIAL effusion; EXTRACORPOREAL membrane oxygenation; PULMONARY circulation; HEPARIN; BLOOD vessels; COMPUTED tomography; HEART valve diseases; TREATMENT effectiveness; RAPID response teams; CATHETERIZATION; HEMODYNAMICS; EMBOLISMS; VASCULAR surgery; NORADRENALINE; COMBINED modality therapy; CATHETER ablation; CARDIAC arrest; BLOOD transfusion; CARDIOPULMONARY resuscitation; BRONCHOSCOPY; THROMBOSIS; PROTAMINES; HYPOTENSION; HEMORRHAGE
- Publication
Perfusion, 2024, Vol 39, Issue 5, p1009
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/02676591231167713