Massive Pulmonary Embolism: Percutaneous Mechanical Thrombectomy during Cardiopulmonary Resuscitation

Fava, Mario; Loyola, Soledad; Bertoni, Hernán G.; Dougnac, A

doi:10.1097/01.rvi.0000146173.85401.ba

Cited by 56 publications

(25 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…189 Surgical embolectomy has also been used successfully in some patients with PE-induced cardiac arrest. 191,197,198 In patients with cardiac arrest due to presumed or known PE, it is reasonable to administer fibrinolytics (Class IIa, LOE B).…”

Section: Acls Modificationsmentioning

confidence: 99%

“…[187][188][189][190][191][192][193][194] Despite the potential to increase the risk of severe bleeding, fibrinolytics may improve survival to discharge and long-term neurological function in patients with presumed PE-induced cardiac arrest. [193][194][195][196] Emergency echocardiography may be helpful in determining the presence of thrombus or PE.…”

Section: Acls Modificationsmentioning

confidence: 99%

See 1 more Smart Citation

Part 12: Cardiac Arrest in Special Situations

Hoek¹,

Morrison²,

Shüster³

et al. 2010

Circulation

661

437

View full text Add to dashboard Cite

Section: Acls Modificationsmentioning

confidence: 99%

Section: Acls Modificationsmentioning

confidence: 99%

Part 12: Cardiac Arrest in Special Situations

Hoek¹,

Morrison²,

Shüster³

et al. 2010

Circulation

661

437

View full text Add to dashboard Cite

“…117,[122][123][124][125] Mechanical thrombectomy was employed in a small case series and only one of seven patients died and pulmonary perfusion was restored in the majority (85.7%). 115 In post-cardiac arrest patients with arrest due to presumed or known pulmonary embolism, fibrinolytics may be considered (Class IIb, LOE C).…”

Section: Treatment Of Pulmonary Embolism After Cprmentioning

confidence: 99%

“…112 The use of fibrinolytics during CPR has been studied, and CPR itself does not appear to pose an unacceptable risk of bleeding. [113][114][115][116][117][118][119][120][121] Alternatively, surgical embolectomy has also been used successfully in some patients after PE-induced cardiac arrest. 117,[122][123][124][125] Mechanical thrombectomy was employed in a small case series and only one of seven patients died and pulmonary perfusion was restored in the majority (85.7%).…”

Section: Treatment Of Pulmonary Embolism After Cprmentioning

confidence: 99%

Part 9: Post–Cardiac Arrest Care

Peberdy¹,

Callaway²,

Neumar³

et al. 2010

Circulation

1,459

838

View full text Add to dashboard Cite

“…7) Furthermore, catheter intervention during cardiopulmonary resuscitation has been performed successfully in a small number of patients. 21) However, there have been no reports describing patients that underwent ECLS. Catheter-based intervention provides rapid improvement of hemodynamic instability.…”

Section: Discussionmentioning

confidence: 99%

Massive Pulmonary Embolism Requiring Extracorporeal Life Support Treated With Catheter-Based Interventions

et al. 2012

View full text Add to dashboard Cite

SummaryWhen pulmonary embolism (PE) develops, circulatory collapse and hypoxia are caused at the same time. The rapid and proper use of extracorporeal life support (ECLS) can improve the mortality rate of patients with collapsed massive PE. No study has examined the influence of treatment that involved adding catheter based-intervention to ECLS with massive collapsed PE. Thirty-five patients with massive PE were examined, and 10 of these patients were placed on ECLS. Eight of the 10 patients placed on ECLS for massive PE were female, and the median age was 61 years. Seven patients had in-hospital onset PE and 3 patients out-of-hospital onset PE. Their underlying conditions were a cerebral infarction (3 patients), coronary artery disease (5 patients), collagen disease (one patient), postoperative state (3 patients), and lung disease (2 patients). Pulmonary angiographic findings showed that a filling defect or complete occlusion was observed in all 10 patients in the proximal lobular arteries, 6 of which had large thrombi stretching to the main pulmonary arteries. All patients underwent thrombolysis. Percutaneous catheter embolus fragmentation and/or thrombectomy were undertaken in 7 patients. All patients required red blood cell transfusion for cannulation site bleeding. The mean duration of ECLS bypass was 48 ± 44 hours. The 30 day mortality rate was 30%. The current study clarified the characteristics of patients with massive PE requiring ECLS. These patients have extensive pulmonary thromboemboli, thus, the aggressive use of catheter-based intervention appears to have beneficial effects for massive PE requiring ECLS. (Int Heart J 2012; 53: 370-374)

show abstract

Massive Pulmonary Embolism: Percutaneous Mechanical Thrombectomy during Cardiopulmonary Resuscitation

Cited by 56 publications

References 13 publications

Part 12: Cardiac Arrest in Special Situations

Part 12: Cardiac Arrest in Special Situations

Part 9: Post–Cardiac Arrest Care

Massive Pulmonary Embolism Requiring Extracorporeal Life Support Treated With Catheter-Based Interventions

Contact Info

Product

Resources

About