Therapeutic plasma exchange performed in parallel with extra corporeal membrane oxygenation for antibody mediated rejection after heart transplantation

2007 ◽  
Vol 22 (6) ◽  
pp. 333-338 ◽  
Author(s):  
Jeffrey Jhang ◽  
William Middlesworth ◽  
Rose Shaw ◽  
Kevin Charette ◽  
Joey Papa ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Plasma Exchange ◽  
Therapeutic Plasma Exchange ◽  
Extra Corporeal Membrane Oxygenation ◽  
Antibody Mediated Rejection ◽  
Membrane Oxygenation

scholarly journals Crash Landing of Thyroid Storm: A Case Report and Review of the Role of Extra-Corporeal Systems

2021 ◽  
Vol 12 ◽  
Author(s):  
Shir Lynn Lim ◽  
Kangjie Wang ◽  
Pak Ling Lui ◽  
Kollengode Ramanathan ◽  
Samantha Peiling Yang
Keyword(s):  
Plasma Exchange ◽  
Case Series ◽  
Therapeutic Plasma Exchange ◽  
Thyroid Storm ◽  
Organ Support ◽  
Beta Blockade ◽  
Close Monitoring ◽  
Extra Corporeal Membrane Oxygenation ◽  
First Line ◽  
Membrane Oxygenation

Thyroid storm is a rare but life-threatening endocrinological emergency with significant mortality ranging from 10-30% with multi-organ involvement and failure. In view of the rarity of this condition and efficacy of established first line medical treatment, use of extra-corporeal treatments are uncommon, not well-studied, and its available evidence exists only from case reports and case series. We describe a 28-year-old man who presented with an out-of-hospital cardiac arrest secondary to thyroid storm. Despite conventional first-line pharmacotherapy, he developed cardiogenic shock and circulatory collapse with intravenous esmolol infusion, as well as multi-organ failure. He required therapeutic plasma exchange, concurrent renal replacement therapy, and veno-arterial extra-corporeal membrane oxygenation, one of the few reported cases in the literature. While there was clinical stabilization and improvement in tri-iodothyronine levels on three extra-corporeal systems, he suffered irreversible hypoxic-ischemic brain injury. We reviewed the use of early therapeutic plasma exchange and extra-corporeal membrane oxygenation, as well as the development of other novel extra-corporeal modalities when conventional pharmacotherapy is unsuccessful or contraindicated. This case also highlights the complexities in the management of thyroid storm, calling for caution with beta-blockade use in thyrocardiac disease, with close monitoring and prompt organ support.

Use of Extra-Corporeal Membrane Oxygenation in Patients Listed for Heart Transplantation

2015 ◽  
Vol 34 (4) ◽  
pp. S180-S181
Author(s):  
A. Cheng ◽  
J.R. Trivedi ◽  
A. Lenneman ◽  
E. Birks ◽  
M.S. Slaughter
Keyword(s):  
Heart Transplantation ◽  
Extra Corporeal Membrane Oxygenation ◽  
Membrane Oxygenation

scholarly journals Therapeutic plasma exchange in heart transplantation: role of coagulation assessment with thromboelastometry

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Andrew Crabbe ◽  
John S. McNeil ◽  
Seema P. Deshpande ◽  
Zachary Kon ◽  
Si M. Pham ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Plasma Exchange ◽  
Therapeutic Plasma Exchange

Therapeutic plasma exchange rapidly improves cardiac allograft function in patients with presumed antibody-mediated rejection

2014 ◽  
Vol 29 (6) ◽  
pp. 316-321 ◽  
Author(s):  
Nirupama Singh ◽  
Sean Vanlandingham ◽  
Catlin Halverson ◽  
Marisa B. Marques ◽  
Jose Tallaj ◽  
...  
Keyword(s):  
Plasma Exchange ◽  
Cardiac Allograft ◽  
Therapeutic Plasma Exchange ◽  
Antibody Mediated Rejection ◽  
Allograft Function
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