Ultrasound‐assisted catheter directed thrombolysis for pulmonary embolus during extracorporeal membrane oxygenation

2021 ◽  
Author(s):  
Douglas Tran ◽  
Nicole Hays ◽  
Aakash Shah ◽  
Chetan Pasrija ◽  
Rafael S. Cires‐Drouet ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Pulmonary Embolus ◽  
Membrane Oxygenation ◽  
Catheter Directed Thrombolysis ◽  
Ultrasound Assisted

Successful use of extracorporeal membrane oxygenation in a child with obstructive shock due to massive bilateral pulmonary embolism

Perfusion ◽  
2017 ◽  
Vol 33 (4) ◽  
pp. 323-325 ◽  
Author(s):  
Aditya Badheka ◽  
Pradeep Bangalore Prakash ◽  
Veerajalandhar Allareddy
Keyword(s):  
Pulmonary Embolism ◽  
Extracorporeal Membrane Oxygenation ◽  
Muscular Atrophy ◽  
Venous Malformation ◽  
Rare Condition ◽  
Massive Pulmonary Embolism ◽  
Spinal Muscular Atrophy Type ◽  
Membrane Oxygenation ◽  
Catheter Directed Thrombolysis ◽  
Va Ecmo

Background: Acute massive pulmonary embolism (PE) is a very rare condition in children. We report the successful use of veno-arterial extracorporeal membrane oxygenation (VA ECMO) as a lifesaving modality in a child with acute massive PE. Case presentation: A nine-year-old female with spinal muscular atrophy type 1, chronic respiratory failure with tracheostomy and ventilator dependence presented with tachypnea and hypoxia. She had recent coiling of her pulmonary arterio-venous malformation. A chest computerized tomography scan showed massive bilateral PE. Urgent catheter-directed thrombolysis failed. She was placed on VA-ECMO with stabilization of hemodynamics. She underwent surgical thrombo-embolectomy followed by weaning of ECMO support. Discussion: The use of VA ECMO supported the cardio-respiratory status and perfusion to facilitate surgical embolectomy.

scholarly journals Catheter-Directed Thrombolysis in a Patient with Severe COVID-19 Pneumonia on Extracorporeal Membrane Oxygenation

2020 ◽  
Vol 46 (07) ◽  
pp. 850-852
Author(s):  
Guy J. Padley ◽  
Shivani S. Desai ◽  
Chrissy Weaver ◽  
Laura C. Price ◽  
Deepa J. Arachchillage ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Membrane Oxygenation ◽  
Catheter Directed Thrombolysis

scholarly journals Massive Pulmonary Embolism with Hemodynamic Compromise Successfully Treated with Veno-Arterial Extracorporeal Membrane Oxygenation

2015 ◽  
Author(s):  
Bindu Akkanti ◽  
Sriram Nathan ◽  
E. Núñez Centeno ◽  
Karunakar Akasapu ◽  
Pratik Doshi ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Cardiac Arrest ◽  
Extracorporeal Membrane Oxygenation ◽  
Pulmonary Embolus ◽  
Massive Pulmonary Embolism ◽  
Cognitive Status ◽  
Systemic Thrombolysis ◽  
Membrane Oxygenation ◽  
Successful Recovery ◽  
Va Ecmo

Introduction: Cardiogenic shock that results from pulmonary embolus has a high mortality rate. Systemic thrombolysis is frequently used in submassive and massive pulmonary embolus and has been shown to restore circulation. However, in the event of impending or ongoing cardiac arrest, systemic thrombolysis or anticoagulation alone has not been always shown to be effective. Case reports have previously established that extracorporeal membrane oxygenation can effectively be used as an effective rescue strategy in cases of cardiac arrest as a result from massive pulmonary embolus. We report six cases of massive pulmonary embolism (PE), in which veno-arterial extracorporeal membrane oxygenation (VA ECMO) was utilized or used as a backup strategy with excellent outcomes. We highly recommend using this strategy at the bedside in a tertiary care facility where VA ECMO support is available. Methods: This is a retrospective study of all patients that underwent VA ECMO or utilized VA ECMO at the bedside as a rescue strategy in the setting of massive PE. We abstracted relevant clinical information from patient charts for this review. Results and analysis: Out of the 107 VA ECMO runs performed at our facility between 1 September 2013 and 31 December 2014, four patients utilized this strategy in the setting of massive PE with impending cardiac arrest; in two cases it was available to use as a backup strategy. All six patients (Table 1) had successful recovery with complete restoration of cognitive status, functional status, and without any clinical signs of right ventricular (RV) dysfunction on discharge.

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