TITLE

Treatment of massive pulmonary embolism utilizing a multidisciplinary approach: a case study

AUTHOR(S)
Griffith, Kevin E.; Jenkins, Eric; Haft, Jonathan
PUB. DATE
May 2009
SOURCE
Perfusion;May2009, Vol. 24 Issue 3, p169
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Massive pulmonary embolism (PE) is associated, historically, with a high mortality rate. Treatment options include systemic anticoagulation, catheter-directed thrombolytic therapy, surgical embolectomy, fragmentation techniques, and catheter embolectomy. Extracorporeal membrane oxygenation (ECMO) repeatedly has demonstrated effectiveness in providing cardiopulmonary support for the patient with a massive PE too unstable to undergo thrombolysis or embolectomy. The present case study describes a morbidly obese patient, status post gastric bypass surgery, who presented with PE, and acute respiratory and cardiac failure. A description of the patient's management plan, which includes a simple, rapidly deployed ECMO system (Levitronix® CentriMag® and Jostra Quadrox D), systemic- and catheter-directed thrombolytic therapy and rheolytic thrombectomy (AngioJet® Series 3000, Possis Medical, Minneapolis, MN).
ACCESSION #
45408876

 

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