Extracorporeal membrane oxygenation in maternal arrhythmic cardiogenic shock

Sim, Shyh-Shyong; Chou, Hao-Chang; Chen, Juin-Wei; Huei‐Ming, Matthew

doi:10.1016/j.ajem.2011.03.030

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…Four additional publications on the use of ECLS during pregnancy included 5 patients, including 1 case of hypoxic cardiac arrest, 22 1 case of ARDS of unknown origin, 23 1 case of refractory cardiac arrhythmia with cardiogenic shock, 24 1 case of mycoplasma ARDS, 25 and 1 case of cardiogenic shock likely of viral origin. 25 The mean gestational age of the 45 patients was 26.5 weeks (range, 12-38 weeks).…”

Section: Resultsmentioning

confidence: 99%

Extracorporeal life support during pregnancy

Moore

Dietl

Coleman

2016

The Journal of Thoracic and Cardiovascular Surgery

137

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Section: Resultsmentioning

confidence: 99%

Extracorporeal life support during pregnancy

Moore

Dietl

Coleman

2016

The Journal of Thoracic and Cardiovascular Surgery

137

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“…There were two fetal deaths 29,31 . The first patient was a 28‐year‐old woman at 26 weeks gestation who had focal AT with a heart rate of 229 bpm 29 . This was refractory to adenosine, direct current cardioversion, and amiodarone.…”

Section: Resultsmentioning

confidence: 99%

“…A literature flow diagram outlining the systematic review is depicted in Figure 6. In total, 28 articles that included 30 patients were retrieved 13‐40 . The primary search via PubMed yielded 564 articles and identified nine articles for review 16,22,24‐29,33 .…”

Section: Resultsmentioning

confidence: 99%

Maternal focal atrial tachycardia during pregnancy: A systematic review

Wang

Shen

McLaughlin

et al. 2020

Cardiovasc electrophysiol

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Introduction The presentation and optimal management of maternal focal atrial tachycardia (AT) during pregnancy are unknown. The objective of this study is to conduct a comprehensive summary of the existing evidence. Methods and Results A systematic review of all reported cases of maternal focal AT during pregnancy was performed. The primary search queried PubMed using the MeSH terms “supraventricular tachycardia” and “pregnancy.” A stepwise ancillary search included article bibliographies, citations listed by the Google internet search engine, and PubMed using the MeSH terms “atrial tachycardia” and “pregnancy.” In total, 28 citations that described 32 patients were retrieved. A case from our institution was added. Detailed information was available for 30 patients. Clinical characteristics at presentation included a mean ± standard deviation of 28.3 ± 5.7 years for maternal age and 24.6 ± 7.7 weeks for gestation age. Suspected tachycardia‐induced cardiomyopathy was present in 20 of 30 (67%) patients and left ventricular ejection fraction improved in 15 of 15 (100%) patients with follow‐up measurements. Medication failure was common. Focal AT resolved spontaneously after delivery in eight of nine (89%) patients treated with only medications. Automaticity was suggested by discrete electrograms at sites of origin and lack of reported inducibility and termination with programmed stimulation in all patients who underwent electrophysiology studies. There were nine cases of successful catheter ablation with zero fluoroscopy since 2010. Conclusions Automaticity is the dominant mechanism for patients with maternal focal AT during pregnancy. Catheter ablation with zero fluoroscopy is an emerging therapy for medically refractory cases.

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“…В различных исследованиях наиболее распространенные участки кровотечений находились вокруг трахеостом и мест канюляции сосудов [24][25][26][27][28]. В нескольких случаях сообщалось о легких и умеренных послеродовых вагинальных кровотечениях, с одним сообщением о катастрофическом послеродовом кровотечении [29,30]. В большинстве отчетов [24][25][26][27][28][29][30] для поддержания оптимального кровотока и гематокрита выше 30 % проводилось переливание крови и свежезамороженной плазмы.…”

Section: рефератunclassified

The first case of Cesarean section in a pregnant woman during extracorporeal membrane oxygenation (ECMO) in Russia

Скопец

Жаров

Potapov

et al. 2019

Annals of Critical Care

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A 22-year-old pregnant woman (34.6 weeks of pregnancy) with A(H1N1) influenza-associated acute respiratory distress syndrome was admitted to the intensive care unit. Results. The patient was connected to femoral-jugular veno-venous extracorporeal membrane oxygenation (ECMO) 2 hours after admission. On the 2nd day of ECMO support, in connection with the beginning of labor activity and a threat to the life of the mother and fetus, the decision was made on the implementation of caesarean section (CS) without the termination of ECMO. CS was performed under general anesthesia, 2 hours after discontinuation of heparin infusion. Were extracted a premature baby girl, weighing 2380 g. Intraoperative period was complicated by atonic uterine bleeding, requiring a hysterectomy. On the 16th day the patient was successfully weaned from ECMO and was discharged after 11 days. The newborn was discharged from the clinic in a satisfactory condition after 24 days with a weight of 2860 g. Conclusion. This is the first case in Russia of successful use of ECMO and emergency cesarean section (CS) during ECMO in a pregnant woman with acute respiratory distress syndrome (ARDS) due to complications of influenza A(H1N1).

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Extracorporeal membrane oxygenation in maternal arrhythmic cardiogenic shock

Cited by 9 publications

References 6 publications

Extracorporeal life support during pregnancy

Extracorporeal life support during pregnancy

Maternal focal atrial tachycardia during pregnancy: A systematic review

The first case of Cesarean section in a pregnant woman during extracorporeal membrane oxygenation (ECMO) in Russia

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