Successful use of a new hand-held ECMO system in cardiopulmonary failure and bleeding shock after thrombolysis in massive post-partal pulmonary embolism

Arlt, Matthias and Philipp, A. and Iesalnieks, I. and Kobuch, R. and Graf, B. M. (2009) Successful use of a new hand-held ECMO system in cardiopulmonary failure and bleeding shock after thrombolysis in massive post-partal pulmonary embolism. PERFUSION-UK, 24 (1). pp. 49-50. ISSN 0267-6591,

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Abstract

Massive pulmonary embolism (PE) leads to cardiogenic shock and is associated with mortality rates of up to 75%.(1) We report on a 27-year-old mother in childbirth who developed a massive post-partal PE and cardiac arrest. Despite mechanical resuscitation, return of spontaneous circulation (ROSC) could not be achieved. After systemic thrombolysis, ROSC returned, but cardiopulmonary failure was persisting, complicated by massive bleeding shock. By using a newly developed, hand-held ECMO system, systemic blood flow and oxygenation were restored and emergency medical services for advanced surgical treatment (hysterectomy and pulmonary embolectomy) were possible. The patient recovered completely. We assume that this newly developed hand-held ECMO device enables rapid onset mechanical life support and improves the prognosis of patients in fatal conditions. Perfusion (2009) 24, 49-50.

Item Type: Article
Uncontrolled Keywords: LIFE-SUPPORT; cardiopulmonary resuscitation; emergency medical service; extracorporeal life support; hand-held ECMO; pulmonary embolism; shock; thrombolysis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Medicine > Lehrstuhl für Chirurgie
Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Oct 2020 14:59
Last Modified: 13 Oct 2020 14:59
URI: https://pred.uni-regensburg.de/id/eprint/29856

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