Massive Pulmonary Embolism Treated with Catheter Therapy and Extracorporeal Membrane Oxygenation
DOI:
https://doi.org/10.1532/hsf.1613Abstract
Massive pulmonary embolism (PE) is associated with significant morbidity and mortality. Treatment for massive PE can include systemic thrombolysis and catheter-directed therapy. We present the case of a patient with massive PE successfully treated with catheter-directed therapy, using extracorporeal membrane oxygenation for hemodynamic support, and discuss some of the potential complications associated with this therapy.
References
Brahmbhatt T, Tutton S, Mannebach P, Cinquegrani M. 2007. Rheolytic thrombectomy in patient with massive pulmonary embolism: a case report and review of literature. Catheter Cardiovasc Interv 70:802-6.
Chechi T, Vecchio S, Spaziani G, et al. 2009. Rheolytic thrombectomy in patients with massive and submassive acute pulmonary embolism. Catheter Cardiovasc Interv 73:506-13.
Dukkipati R, Yang EH, Adler S, Vintch J. 2009. Acute kidney injury caused by intravascular hemolysis after mechanical thrombectomy. Nat Clin Pract Nephrol 5:112-6.
Foley PJ, Morris RJ, Woo EY, et al. 2010. Limb ischemia during femoral cannulation for cardiopulmonary support. J Vasc Surg 52:850-3.
Jaff MR, McMurtry MS, Archer SL, et al. 2011. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation 123:1788-830.
Konstantinides S, Geibel A, Kasper W, Olschewski M, Blümel L, Just H. 1998. Patent foramen ovale is an important predictor of adverse outcome in patients with major pulmonary embolism. Circulation 97:1946-51.
Kuo WT, Gould MK, Louie JD, Rosenberg JK, Sze DY, Hofmann LV. 2009. Catheter-directed therapy for the treatment of massive pulmonary embolism: systematic review and meta-analysis of modern techniques. J Vasc Interv Radiol 20:1431-40.
Yusuff HO, Zochios V, Vuylsteke A. 2015. Extracorporeal membrane oxygenation in acute massive pulmonary embolism: a systematic review. Perfusion 30:611-6.