Mechanical Circulatory Support and Critical Care Management of High-Risk Acute Pulmonary Embolism

Sifuentes, Aaron; Goldar, Ghazaleh; Abdul-Aziz, Ahmad A.; Lee, Ran; Shore, Supriya

doi:10.1016/j.iccl.2023.03.004

Interventional Cardiology Clinics

2023

DOI: 10.1016/j.iccl.2023.03.004

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Mechanical Circulatory Support and Critical Care Management of High-Risk Acute Pulmonary Embolism

Aaron Sifuentes¹,

Ghazaleh Goldar²,

Ahmad A. Abdul-Aziz³

et al.

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2024

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Cited by 1 publication

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Successful pharmaco-invasive approach using a lower alteplase dose and VA-ECMO support in high-risk pulmonary embolism: case report

Gutierrez-Gallegos,

Jimenez-Franco,

Jerjes-Sanchez

et al. 2024

Front. Cardiovasc. Med.

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Despite the elevated mortality rates associated with high-risk pulmonary embolism (PE), this condition remains understudied. Data regarding the effectiveness and safety of invasive therapies such as venoarterial extracorporeal membrane oxygenation (VA-ECMO) in this patient population remains controversial. Here, we present the case of a 61-year-old male with high-risk PE associated with refractory cardiac arrest and cardiogenic shock who underwent a combination of extracorporeal cardiopulmonary resuscitation with VA-ECMO and pharmaco-invasive therapy (mechanical thrombi fragmentation plus lower alteplase dose), resulting in successful pulmonary reperfusion. After a prolonged in-hospital stay, the patient was discharged in stable condition.

show abstract

Successful pharmaco-invasive approach using a lower alteplase dose and VA-ECMO support in high-risk pulmonary embolism: case report

Gutierrez-Gallegos,

Jimenez-Franco,

Jerjes-Sanchez

et al. 2024

Front. Cardiovasc. Med.

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show abstract

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Mechanical Circulatory Support and Critical Care Management of High-Risk Acute Pulmonary Embolism

Cited by 1 publication

References 62 publications

Successful pharmaco-invasive approach using a lower alteplase dose and VA-ECMO support in high-risk pulmonary embolism: case report

Successful pharmaco-invasive approach using a lower alteplase dose and VA-ECMO support in high-risk pulmonary embolism: case report

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